Individual provider · Type 1 NPI

Kris Blackwell

Licensed Practical Nurse · Whitmore Lake, MI

NPI number 1659150712 Active

Practice location

11733 Dunlavy Ln
Whitmore Lake, MI 48189-9375

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703116438 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1659150712

Kris Blackwell's National Provider Identifier is 1659150712, issued on Sep 27, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Whitmore Lake, MI. The record was last updated on Sep 27, 2023.