SearchOhio390200000X

Kim Blackburn

NPI 1710002670 · on the registry since 2007 · sole proprietor

Practice

Address
1220 Lynne Ave
Bucyrus, OH 44820
Phone
(419) 564-2143

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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