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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNY R BLACKSTON OD PC

Active Organization

KENNY R BLACKSTON OD PC is a Optometrist organization located in ANDALUSIA, Alabama. NPI 1710028618 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ANDALUSIA, AL

Registration Details

NPI Number
1710028618
Provider Type
Organization
NPI Issued
Feb 12, 2007 (19.469020976072 yrs)
Last Updated
Aug 26, 2024
License
S-950-TA-529 (AL)

Practice Information

Address
1306 RIVER FALLS ST
ANDALUSIA, AL, 364212081
Browse AL providers · Browse ZIP 36421
Phone
3342226325
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in ANDALUSIA, AL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.