Individual provider · Type 1 NPI

Kevin Neely Blackmon, MD

Diagnostic Radiology Physician · Greenville, SC

NPI number 1679700140 Active

Practice location

1210 W Faris Rd
Greenville, SC 29605

Fax (864) 522-1806

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 169 Ashley Ave, MSC333, Charleston, SC 29425-8905 · (843) 792-2575
  • 169 Ashley Ave, MSC333, Charleston, SC 29425-8905 · (843) 792-2575
  • 1519 Marion St, Columbia, SC 29201-2910 · (803) 296-5954

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X31776 (SC)
Vascular & Interventional Radiology Physician 2085R0204X2031776 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

157 other providers at this address

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About NPI 1679700140

Kevin Neely Blackmon, MD's National Provider Identifier is 1679700140, issued on Jun 11, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Greenville, SC. The record was last updated on Dec 6, 2021.