Provider Demographics
NPI:1891244596
Name:BLEVINS, KARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:CATLETTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41129-9335
Mailing Address - Country:US
Mailing Address - Phone:606-615-3460
Mailing Address - Fax:
Practice Address - Street 1:600 MARION PIKE
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2963
Practice Address - Country:US
Practice Address - Phone:740-533-2479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03136231174H00000X, 183500000X
WVRP0006271174H00000X, 183500000X
KY011803174H00000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No174H00000XOther Service ProvidersHealth Educator