Search › Ohio › 376J00000X
Kineta Blackmon
NPI 1598408361 · on the registry since 2022
Practice
- Address
- 3800 Rosemont Blvd Apt 113a
Fairlawn, OH 44333 - Phone
- (330) 245-9849
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-19
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 Ohio