Kayla Christine Blackmon, MS
Genetic Counselor, MS in Indianapolis, IN. Individual provider (NPI-1).
NPI number1417632829
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1417632829
- Entity type
- Individual (NPI-1)
- Name
- Kayla Christine Blackmon
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2023
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | 99119066A | IN | Yes |
Practice location
8081 Township Line Rd Ste 203Indianapolis, IN 46260-2189
Phone 317-415-7741
Mailing address
8081 Township Line Rd Ste 203Indianapolis, IN 46260-2189
Phone 734-330-9969
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