KENNETH ROLAND BLANTON

WILMINGTON, NC
NPI1639194715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  100409)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2006-07-12
Last Update Date2024-07-16
Business Address
KENNETH ROLAND BLANTON PA
2131 S 17TH ST
WILMINGTON, NC 28401-7407
Phone number: 910-667-2606
Mailing Address
KENNETH ROLAND BLANTON PA
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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