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Kelly Jan Blackmon
Student in an Organized Health Care Education/Training Program in Greenville, North Carolina
NPI 1316668775

Kelly Jan Blackmon is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Kelly Jan Blackmon practices in Greenville, NC. The NPI Number for Kelly Jan Blackmon is 1316668775 and holds a License No. (North Carolina).

The current practice location address for Kelly Jan Blackmon is 600 Moye Blvd, Greenville, NC and can be reached out via phone at 252-744-6478.

Location: 600 Moye Blvd, Greenville, NC, 27834-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316668775
Provider Name
Kelly Jan Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Moye Blvd, Greenville, NC, 27834-4300
Phone Number
252-744-6478
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-4300
Phone Number
252-744-6478
Fax Number
person
Provider Business Mailing Address Details
Address
600 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-4300
Phone Number
252-744-6478
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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