Individual
KIMBERLY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10456 US HIGHWAY 62, CALVERT CITY, KY 42029-9020
(270) 898-6288
Mailing address
10456 US HIGHWAY 62, CALVERT CITY, KY 42029-9020
(270) 898-6288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/27/2011
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