Individual
DR. BRANDI NICOLE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
1805 RAINEY RD, SOMERSET, KY 42503-5531
(205) 834-5141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32928
AL
207R00000X
Internal Medicine Physician
Primary
MD.32928
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2012
Last updated
02/01/2024
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