Individual
ELIZABETH KAYLOR BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 W MAUMEE ST, ANGOLA, IN 46703-8605
(606) 658-4942
(260) 668-5690
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 667-5131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007711A
IN
Other
Enumeration date
03/27/2021
Last updated
08/15/2024
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