Active NPIIndividual provider

Kahni C Blackmon, PHD

Psychiatry & Neurology, Psychiatry in Revere, Massachusetts

NPI Number1902177884
Practice location
Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151
Fax
—
Last updated
January 24, 2012

Kahni C Blackmon is a Psychiatry & Neurology, Psychiatry based in Revere, MA. Kahni C Blackmon practices in Revere, MA and has the professional credentials of PHD. The NPI Number for Kahni C Blackmon is 1902177884 and holds a License No. PSY-9439 (MA). The current practice location address for Kahni C Blackmon is Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 and can be reached out via phone at 781-485-6180.

Provider Profile Details

NPI Number
1902177884
Provider Name
Kahni C Blackmon
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151
Phone Number
781-485-6180
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2012
Last Update Date
January 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
Mgh Revere Healthcare Center
300 Ocean Ave.
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
781-485-6180
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
Mgh Revere Healthcare Center
300 Ocean Ave.
Revere, MA 02151
City
Revere
State
MA
Zip
02151
Phone Number
781-485-6180

License Information

License Number
PSY-9439
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kahni C Blackmon, PHD?

The NPI number of Kahni C Blackmon, PHD is 1902177884. It was assigned on January 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Kahni C Blackmon, PHD?

Kahni C Blackmon, PHD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number PSY-9439.

Where does Kahni C Blackmon, PHD practice?

The practice location is Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151. The office can be reached at 781-485-6180 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902177884 directly on the NPPES registry website.

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