Individual
DR. KIMBERLY L BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DUKE SOUTH I TRENT DR, CAMPUS BOX 3893, DURHAM, NC 27710-0001
(919) 668-1748
(919) 681-0874
Mailing address
DUKE SOUTH I TRENT DR, CAMPUS BOX 3893, DURHAM, NC 27710-0001
(919) 668-1748
(919) 681-0874
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
95-01495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126TH
—
NC
Enumeration date
10/23/2006
Last updated
07/08/2007
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