All Medicaid billing entities listing BLACKMON, KELLIE (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Nebraska | 1 | $11K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CRETE PHYSICAL THERAPY, LLC | CRETE, NE | Physical Therapist | $11K |