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

Sandra Lee Blackwell

Individual provider Chore Provider · NPI 1407607476

Sandra Lee Blackwell is a Chore Provider in Kentwood, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

4728 Wolf Run Ave SE
Kentwood, MI 49548-7570
Phone: (616) 734-3204
Show map & directions

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

Specialties & licences

Chore Provider (primary) Taxonomy 372500000X (MI)

Record details

NPI number1407607476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address4728 Wolf Run Ave Se, Kentwood, MI 49548-7570

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