Individual
DR. KALEB WADE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
93 ISOM PLAZA, ISOM, KY 41824
(606) 633-9238
(606) 633-0222
Mailing address
PO BOX 250, ISOM, KY 41824-0250
(606) 633-9238
(606) 633-0222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014012
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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