Kendall T Blake in Jackson - Orthopaedic Surgery Of The Spine
Kendall T Blake - NPI 1427072966
Kendall T Blake is a Orthopaedic Surgery Of The Spine in Jackson, Mississippi. Kendall T Blake practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Kendall T Blake is 1427072966. The last update date is 2014-03-07.
Kendall T Blake's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846525. The mailing address for Kendall T Blake is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendall T Blake |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019846525 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427072966 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2014-03-07 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 6797 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116141 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kendall T Blake by the Centers for Medicare & Medicaid Services?
The Kendall T Blake has been issued the NPI (National Provider Identifier) 1427072966. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kendall T Blake is geographically located?
The Kendall T Blake is physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Kendall T Blake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kendall T Blake's area of specialization is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0117X.
On what date did the Kendall T Blake receive the assignment of its 1427072966 from the Centers for Medicare & Medicaid Services?
The Kendall T Blake was issued its 1427072966 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details related to Kendall T Blake most recently updated or revised?
The information pertaining to Kendall T Blake, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-07.
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