Provider Demographics
NPI:1952727042
Name:JABLONSKY, KEVIN JUSTIN (RNFA)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:JUSTIN
Last Name:JABLONSKY
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 SAVANNAH LN
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-5406
Mailing Address - Country:US
Mailing Address - Phone:205-250-9966
Mailing Address - Fax:205-358-3103
Practice Address - Street 1:6110 CEDARCREST RD NW STE 350-184
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9539
Practice Address - Country:US
Practice Address - Phone:470-336-8190
Practice Address - Fax:404-464-0781
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN220938163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant