KEVIN P BLACKMON MD

PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC

Dr KEVIN P BLACKMON MD is a male medical professional, specializing in Anesthesiology. He graduated in 1991.

Contact

PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC

888 SWIFT BLVD
RICHLAND
WA
993523514

Tel: 5099464611

KEVIN P BLACKMON MD Information

Npi 1538121892
Pac Id 4688662547
Professional Enrollment Id I20040501000099
Last Name BLACKMON
First Name KEVIN
Middle Name P
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1991
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC
Group Practice Pac Id 4880699172
Number Of Group Practice Members 57
Line 1 Street Address 888 SWIFT BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RICHLAND
State WA
Zip Code 993523514
Phone Number 5099464611
Hospital Affiliation Ccn 1 500058
Hospital Affiliation Lbn 1 KADLEC REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 200018
Hospital Affiliation Lbn 2 AROOSTOOK MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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