Individual provider · Type 1 NPI

Kai-Shanet Blackwood

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1649150483 Active

Practice location

10730 Bell Tucker Ln Apt 405
Louisville, KY 40241-4032

Call (347) 371-7000 Map

Mailing address

10730 Bell Tucker Ln
Louisville, KY 40241-4026

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649150483

Kai-Shanet Blackwood's National Provider Identifier is 1649150483, issued on Sep 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Sep 3, 2025.