Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH WILLIAM BLACKMAN, MD
ActivePublic Health & General Preventive Medicine · RIVER RIDGE, LA
Registration Details
- NPI Number
- 1477532885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2006 (20.268405719512 yrs)
- Last Updated
- Jul 9, 2007
- License
-
10367R (LA)
Practice Information
- Address
-
11312 JEFFERSON HWYRIVER RIDGE, LA, 701231709Browse LA providers · Browse ZIP 70123
- Phone
- 5044640032
- Fax
- 5044663440
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.