NPI 1376961425 · live from the CMS NPI Registry
Kari June Blackburn, DNP, CPNP-PC
Nurse Practitioner, Pediatrics in Lexington, KY. National Provider Identifier 1376961425, active.
NPI record
| NPI | 1376961425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2400 Greatstone PT, Lexington, KY 40504 |
| Practice phone | 859-257-1000 |
| Mailing address | 4701 Spring Creek Dr, Lexington, KY 40515 |
| Enumerated | April 4, 2014 |
| Last updated | September 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 3008730 (KY) |
| Urology, Pediatric Urology | 2088P0231X | 3008730 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.