Individual
MS. AUDREY NICOLE BLACKETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF
Contact information
Practice address
3900 CROSBY DR, #917, LEXINGTON, KY 40515-1811
(270) 535-8791
Mailing address
3900 CROSBY DR, #917, LEXINGTON, KY 40515-1811
(270) 535-8791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-08-007
KY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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