Blackwell, Kimberly L
Blackwell, Kimberly L is an individual health care provider with primary practice located at Duke South I Trent Dr Campus Box 3893, Durham NC 27710-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Blackwell, Kimberly L can be contacted via phone (919) 668-1748.Contact Information
Primary practice address
Duke South I Trent Dr Campus Box 3893
Durham NC 27710-0001
Phone: (919) 668-1748
Fax: (919) 681-0874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 95-01495 | North Carolina |
Profile Details
| NPI number | 1720161946 |
|---|---|
| LBN Legal business name | Blackwell, Kimberly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720161946 | NPPES |
| North Carolina | MEDICAID | 89126TH |
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