Individual
DR. KYLE BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST, SUITE 600, LOUISVILLE, KY 40202
(502) 588-4865
Mailing address
401 E CHESTNUT ST, SUITE 600, LOUISVILLE, KY 40202
(502) 588-4865
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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