Search › Pennsylvania › 183700000X
Kisha Blackmon
NPI 1285126862 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5730 Woodcrest Ave
Philadelphia, PA 19131 - Phone
- (267) 644-9244
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania