person
Kelly M Blackburn, RN
Addiction (Substance Use Disorder) Registered Nurse in Waukesha, Wisconsin
NPI 1255668208

Kelly M Blackburn is an Addiction (Substance Use Disorder) Registered Nurse based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). Kelly M Blackburn practices in Waukesha, WI and has the professional credentials of RN. The NPI Number for Kelly M Blackburn is 1255668208 and holds a License No. 170106030 (Wisconsin).

The current practice location address for Kelly M Blackburn is 2422 N Grandview Blvd, Waukesha, WI and can be reached out via phone at 262-549-6600 and via fax at 262-549-6698. You can also correspond with Kelly M Blackburn through the mailing address at 2422 N GRANDVIEW BLVD, WAUKESHA, WI - 53188-6105 (mailing address contact number: 262-549-6600).

Location: 2422 N Grandview Blvd, Waukesha, WI, 53188-6105
person
Provider Profile Details
NPI Number
1255668208
Provider Name
Kelly M Blackburn
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2422 N Grandview Blvd, Waukesha, WI, 53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
Provider Enumeration Date
11/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2422 N Grandview Blvd
City
State
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider Business Mailing Address Details
Address
2422 N Grandview Blvd
City
State
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
170106030 (Wisconsin)
Definition
Definition to come...
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