Search › Alabama › 152W00000X
Kenny Blackston, O.D
NPI 1740286301 · on the registry since 2005
Practice
- Address
- 102 W Covington Ave
Opp, AL 36467 - Phone
- (334) 774-9396
- Fax
- (334) 774-1459
- Organisation at this address
- D & J Optical Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-17
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 Alabama