HomeNPI Verification

NPI Verification

National Provider Identifier: 1255751525

Kory Blackwell

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

5192 OLD HIGHWAY 11 STE 2

HATTIESBURG, MS 394026222

Phone: 601-268-0929

NPI Enumeration Date

April 24, 2014

NPI Number

1255751525

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry