Individual provider · Type 1 NPI

Mallory Renee Ritter Blevins, MD

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

NPI number 1821792672 Active

Practice location

800 Rose St
Lexington, KY 40536-7001

Call (859) 257-8801 Map

Fax (859) 257-2828

Mailing address

800 Rose St Rm C-368
Lexington, KY 40536-0293

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 1821792672

Mallory Renee Ritter Blevins, MD's National Provider Identifier is 1821792672, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Jan 26, 2024.