Ken Blackburn
Ken Blackburn is a Rehabilitation Practitioner in Sparks, Nevada. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
480 Galletti WaySparks, NV 89431-5564
Phone: (775) 333-0943
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1699084608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2010 |
| Last updated in NPPES | September 26, 2010 |
| Mailing address | 7491 Ambush Ct, Sparks, NV 89436-7459 |
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