Individual
BLAKELEY GRANT LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1605 SCHERM RD, OWENSBORO, KY 42301-5300
(270) 316-6347
Mailing address
1605 SCHERM RD, OWENSBORO, KY 42301-5300
(270) 316-6347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5207
KY
Other
Enumeration date
01/24/2010
Last updated
03/17/2018
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