| Kaitlin E. Blackburn Dds, Pa | |
|
466 E Nine Mile Rd Pensacola FL 32514-1441 | |
| (850) 476-2552 | |
| Not Available |
| Full Name | Kaitlin E. Blackburn Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 466 E Nine Mile Rd, Pensacola, Florida |
| Authorized Official Name and Position | Kaitlin Elizabeth Blackburn (DENTIST) |
| Authorized Official Contact | 8123064451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin E. Blackburn Dds, Pa 466 E Nine Mile Rd Pensacola FL 32514-1441 Ph: (850) 476-2552 | Kaitlin E. Blackburn Dds, Pa 466 E Nine Mile Rd Pensacola FL 32514-1441 Ph: (850) 476-2552 |
| NPI Number | 1831631563 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 11/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831631563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN21161 (Florida) | Primary |
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