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1013543172
KELLY BLACKBURN
LEXINGTON, KY
NPI
1013543172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-03-19
Last Update Date
2022-01-27
Business Address
KELLY BLACKBURN RDN
711 HAMBRICK AVE
LEXINGTON, KY 40508-2307
Phone number: 818-641-4892
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Mailing Address
KELLY BLACKBURN RDN
PO BOX 368
STANVILLE, KY 41659-0368
Phone number:
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