KELLY JAN BLACKMON
NPI 1316668775
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since September 05, 2022
600 MOYE BLVD, GREENVILLE, NC 27834(252) 744-6478 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jan Blackmon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JAN BLACKMON (NPI 1316668775) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1316668775
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY JAN BLACKMON
Location Address600 MOYE BLVDGreenville, NC 27834-4300
Mailing Address600 Moye BlvdGreenville, NC 27834-4300 · (252) 744-6478
Sole ProprietorNo
Enumeration DateSeptember 5, 2022
NPPES CertifiedSeptember 5, 2022
NPI 1316668775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 MOYE BLVD, Greenville, NC 27834

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
600 MOYE BLVD, SCHOOL OF ALLIED HEALTH SCIENCES/CSDI
GREENVILLE, NC 27834
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine (Rheumatology)
600 MOYE BLVD
GREENVILLE, NC 27834
Pediatrics
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER
GREENVILLE, NC 27834
Internal Medicine (Hematology & Oncology)
600 MOYE BLVD, LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY
GREENVILLE, NC 27834
Surgery
600 MOYE BLVD, LEO JENKINS CANCER CENTER
GREENVILLE, NC 27834
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD, ECU PHYSICIANS PATHOLOGY BRODY OUTPATIENT CENTER
GREENVILLE, NC 27834
Speech-Language Pathologist
600 MOYE BLVD
GREENVILLE, NC 27834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Blackmon's NPI number?

The NPI number for Kelly Blackmon is 1316668775. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Kelly Blackmon located?

Kelly Blackmon practices at 600 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-6478.

What is Kelly Blackmon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Blackmon was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.