DONALD EDWARD BLACKBURN

ELIZABETHTOWN, KY
NPI1174294227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3016712)
Enumeration Date2021-09-27
Last Update Date2021-10-12
Business Address
DONALD EDWARD BLACKBURN APRN
2000 RING RD
ELIZABETHTOWN, KY 42701-9454
Phone number: 270-506-2730
Mailing Address
DONALD EDWARD BLACKBURN APRN
7818 PEAR VIEW LN
LOUISVILLE, KY 40218-4761
Phone number: 502-552-5512
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