Blanton, Kenneth

Blanton, Kenneth is an individual health care provider with primary practice located at 1301 Clinic Dr , Tyler TX 75701-2120. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nuclear. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Blanton, Kenneth can be contacted via phone (903) 592-8635.

Contact Information

Primary practice address
1301 Clinic Dr Tyler TX 75701-2120
Phone: (903) 592-8635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 70668 Texas
Pharmacy Service Providers / Nuclear 1835N0905X 70668 Texas

Profile Details

NPI number 1962986810
LBN Legal business name Blanton, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2018
Last updated Jan 18th, 2024 - about 11 months 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.

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