PENNY KAY BLACKBURN

PLYMOUTH MEETING, PA
NPI1205088762
Former NamePENNY KAY BOLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27058294A)
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
-- PENNY KAY BLACKBURN LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 317-842-7674
Mailing Address
-- PENNY KAY BLACKBURN LPN
PO BOX 229
KINGMAN, IN 47952-0229
Phone number: 765-585-6000