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Ms. Kim Ann Blackburn
Student in an Organized Health Care Education/Training Program in Bucyrus, Ohio
NPI 1710002670

Kim Ann Blackburn is a Student in an Organized Health Care Education/Training Program based in Bucyrus, OH. Kim Ann Blackburn practices in Bucyrus, OH. The NPI Number for Kim Ann Blackburn is 1710002670 and holds a License No. 2426253 (Ohio).

The current practice location address for Kim Ann Blackburn is 1220 Lynne Ave, Bucyrus, OH and can be reached out via phone at 419-564-2143. You can also correspond with Kim Ann Blackburn through the mailing address at 1220 LYNNE AVE, BUCYRUS, OH - 44820-3013 (mailing address contact number: 419-564-2143).

Location: 1220 Lynne Ave, Bucyrus, OH, 44820-3013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710002670
Provider Name
Kim Ann Blackburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1220 Lynne Ave, Bucyrus, OH, 44820-3013
Phone Number
419-564-2143
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1220 Lynne Ave
City
Bucyrus
State
Ohio
Zip
44820-3013
Phone Number
419-564-2143
Fax Number
person
Provider Business Mailing Address Details
Address
1220 Lynne Ave
City
Bucyrus
State
Ohio
Zip
44820-3013
Phone Number
419-564-2143
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.
2426253 (Ohio)
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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