National Provider Identifier Database

KEVIN N BLACKMON, MD – NPI #1679700140
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

KEVIN N BLACKMON, MD
1210 W FARIS RD
GREENVILLE, SC29605
Phone: 864-522-1800
Fax: 864-522-1806
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for KEVIN N BLACKMON

NPI Number 1679700140
Credentials MD
Entity Individual
Enumeration date 06/11/2009
Last updated 12/06/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • SC License #: 2031776
  • SC License #: 31776
  • SC Medicaid: 317767
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KEVIN N BLACKMON, MD

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