SearchIllinois363A00000X

Karen Blackwell, P.A

NPI 1487983664 · on the registry since 2009

Practice

Address
310 N 7 Hills Rd
O Fallon, IL 62269
Phone
(618) 624-6181
Fax
(618) 624-7172
Clinicians at this address
12

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-22

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 Illinois