Individual
COLIN JAMES BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
2341 W LINCOLN RD, KOKOMO, IN 46902-8012
(844) 424-3668
Mailing address
2341 W LINCOLN RD, KOKOMO, IN 46902-8012
(844) 424-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001203A
IN
Other
Enumeration date
04/17/2012
Last updated
03/17/2021
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