Individual provider · Type 1 NPI
Kyle Blackburn, MD
Neurology Physician · Dallas, TX
NPI number
1144640533
Active
Practice location
5201 Harry Hines Blvd, Graduate Medical Education
Dallas, TX 75235-7708
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | R6747 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1144640533
Kyle Blackburn, MD's National Provider Identifier is 1144640533, issued on Apr 23, 2014. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Dallas, TX. The record was last updated on May 18, 2021.