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Search › Kentucky › 207XS0106X

Ethan Blackburn, MD

NPI 1538387360 · on the registry since 2007

Practice

Address
315 E Broadway Ste 195
Louisville, KY 40202
Phone
(502) 629-4263
Fax
(502) 629-4282
Organisation at this address
Norton Enterprises, Inc.
Sn Kentuckiana Rehab, Llc
Sn Kentuckiana Rehab, Llc
Kentucky Orthopedic Rehabilitation, Llc
Gateway At Norton Rehabilitation Hospital, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
207XS0106X
207XS0106X
Also registered as
207X00000X
207X00000X
390200000X
Licence states on file
KY, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-12

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