KENNETH R. BLANTON

WILMINGTON, NC
NPI1639194715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-07-12
Last Update Date2021-05-27
Business Address
KENNETH R. BLANTON PA
1912 TRADD CT
WILMINGTON, NC 28401-6637
Phone number: 910-251-3766
Mailing Address
KENNETH R. BLANTON PA
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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