Kendi Blackburn

NPI 1710201900 - Counselor - 101Y00000X

NPI Details
NPI 1710201900
Gender Female
Enumeration Date 03/17/2010
Last Updated 03/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
134 N 12TH AVE
DURANT OK, 74701-4718, US
Phone (580) 924-6363
Business Location
DURANT OK, 74701-2910, US
Phone (580) 931-7708
Taxonomy Code 101Y00000X
License State
License Number
Remove 1710201900 NPI Number

According to our database, Kendi Blackburn NPI is 1710201900, taxonomy code is 101Y00000X Kendi Blackburn physically located at 134 N 12th Ave, Durant OK, 74701-4718. NPI Number Kendi Blackburn has the Individual type.

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1710201900 NPI number is provided on an as is basis without warranty of any kind. 1710201900 is maintained by the National Plan & Provider Enumeration System. The contents of Kendi Blackburn are for informational purposes only.