NPI
Kathryn Michele Blackport
NPI 1104470079
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MSN, CNM
- Type
- Individual
- Enumeration date
- 2019-07-30
- Last updated
- 2023-07-19
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Specialties
Licenses
- License MI
- 470407657
- License MI
- 4704307657
Location
- Practice location
- 3601 W 13 Mile Rd
- City
- Royal Oak MI
- Postal code
- 48073-6712
- Phone
- (248) 898-4021
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Royal Oak, MI. 4,587 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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