Amy C Blackburn

NPI 1033260658 - Clinic/Center - 261QM0801X

NPI Details
NPI 1033260658
Gender Female
Enumeration Date 01/12/2007
Last Updated 02/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
425 BROADWAY ST
PADUCAH KY, 42001-0713, US
Phone (270) 442-7121
Fax
Business Location
425 BROADWAY
PADUCAH KY, 42001, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Amy C Blackburn NPI is 1033260658, taxonomy code is 261QM0801X Amy C Blackburn physically located at 425 Broadway St, Paducah KY, 42001-0713. NPI Number Amy C Blackburn has the Individual type.

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1033260658 NPI number is provided on an as is basis without warranty of any kind. 1033260658 is maintained by the National Plan & Provider Enumeration System. The contents of Amy C Blackburn are for informational purposes only.