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Search › Kentucky › 363LW0102X

Tara Blackwell, APRN

NPI 1326265430 · on the registry since 2007

Practice

Address
2605 Kentucky Ave
Ste. 102
Paducah, KY 42003
Phone
(270) 415-8965
Fax
(855) 855-4585
Organisation at this address
Tpg Pllc
Bret A. Avra, Dmd, Psc.
Purchase Derm-Ent, Pllc
Pediatric Group Of Paducah
Ted H Jefferson D.O., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
363LF0000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-05

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 Kentucky