Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Jan Blackmon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316668775

Kelly Jan Blackmon is a Student in an Organized Health Care Education/Training Program in Greenville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

600 Moye Blvd
Greenville, NC 27834-4300
Phone: (252) 744-6478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316668775
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022

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