person
Ms. Katherine Ann Blackwell
Medical Physician Assistant in Port Huron, Michigan
NPI 1942570973

Katherine Ann Blackwell is a Medical Physician Assistant based in Port Huron, MI and is specialized in Medical. Katherine Ann Blackwell practices in Port Huron, MI. The NPI Number for Katherine Ann Blackwell is 1942570973 and holds a License No. (Michigan).

The current practice location address for Katherine Ann Blackwell is 1209 10Th St, Port Huron, MI and can be reached out via phone at 810-985-8170.

Location: 1209 10Th St, Port Huron, MI, 48060-5262
person
Provider Profile Details
NPI Number
1942570973
Provider Name
Katherine Ann Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1209 10Th St, Port Huron, MI, 48060-5262
Phone Number
810-985-8170
Fax Number
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700H231390 01 MI BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
1209 10Th St
City
State
Zip
48060-5262
Phone Number
810-985-8170
Fax Number
person
Provider Business Mailing Address Details
Address
1209 10Th St
City
State
Zip
48060-5262
Phone Number
810-985-8170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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