All Medicaid billing entities listing BLACKMON, KENNETH (SOLE MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Alabama | 1 | $563.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OAK PARK DENTAL LLC | TROY, AL | General Practice Dentistry | $563.00 |