SearchKentucky171M00000X

Alaric Blackwell, CSA

NPI 1659019248 · on the registry since 2022 · sole proprietor

Practice

Address
Po Box 64
Florence, KY 41022
Phone
(859) 957-9975

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-14

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