Blackman, Kristen R

Blackman, Kristen R is an individual health care provider with primary practice located at 22682 Margarita Dr , Woodland Hills CA 91364-4029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blackman, Kristen R can be contacted via phone (323) 377-4679.

Contact Information

Primary practice address
22682 Margarita Dr Woodland Hills CA 91364-4029
Phone: (323) 377-4679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22285 California

Profile Details

NPI number 1578643250
LBN Legal business name Blackman, Kristen R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578643250 NPPES
Other 1578643250 NPI

Popular Providers