DR. KENNY BLACKSTON, O.D.
Optometrist
Active
Individual
NPI: 1740286301
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | S950-TA-529 (AL) |
Frequently Asked Questions
NPI 1740286301 is the National Provider Identifier for DR. KENNY BLACKSTON, O.D., a Optometrist provider located in Opp, AL. This NPI was enumerated on June 28, 2005.
DR. KENNY BLACKSTON, O.D. practices at 102 W COVINGTON AVE, Opp, AL 36467.
Quick Facts
- NPI
- 1740286301
- Type
- Individual
- Enumerated
- Jun 28, 2005
- Last Updated
- Jan 17, 2008
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