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Contact Information

KEVIN N BLACKMON, MD
1210 W FARIS RD
GREENVILLE, SC29605
 Phone: 864-522-1800
 Fax: 864-522-1806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for KEVIN N BLACKMON · (Male)

NPI # 1679700140
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2009
Last updated 12/06/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 2031776
  • SC License # 31776
  • SC Medicaid 317767
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • GREER MEMORIAL HOSPITAL - (Acute Care)
    830 SOUTH BUNCOMBE ROAD
    GREER, SC 29650
  • OCONEE MEDICAL CENTER - (Acute Care)
    298 MEMORIAL DRIVE
    SENECA, SC 29672
  • PATEWOOD MEMORIAL HOSPITAL - (Acute Care)
    175 PATEWOOD DRIVE
    GREENVILLE, SC 29615
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.

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