Kendall Leon Blackwell in Wilson - Primary Podiatric Medicine
Kendall Leon Blackwell - NPI 1366483638
Kendall Leon Blackwell is a Primary Podiatric Medicine in Wilson, North Carolina. Kendall Leon Blackwell practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Kendall Leon Blackwell is 1366483638. The last update date is 2022-08-09.
Kendall Leon Blackwell's current location address is 1704 Glendale Dr Sw, Wilson, North Carolina. You can contact this provider via phone number 2522370138. The mailing address for Kendall Leon Blackwell is 1704 Glendale Dr Sw, Wilson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendall Leon Blackwell |
|---|---|
| Address | 1704 Glendale Dr Sw, Wilson, North Carolina |
| Phone Number | 2522370138 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1366483638 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2022-08-09 |
Provider Mailing Address Detail
| Address | 1704 Glendale Dr Sw |
|---|---|
| City | Wilson |
| State | North Carolina (NC) |
| Post Code | 278934678 |
| Phone Number | 2522370138 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 238 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79-0804G | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kendall Leon Blackwell by the Centers for Medicare & Medicaid Services?
The Kendall Leon Blackwell has been assigned the NPI (National Provider Identifier) 1366483638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kendall Leon Blackwell is geographically located?
The Kendall Leon Blackwell is physically situated at the following location: 1704 Glendale Dr Sw, Wilson, NC, 278934678.
What is the Kendall Leon Blackwell's specialty and taxonomy code?
The Kendall Leon Blackwell's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366483638 to Kendall Leon Blackwell?
The Kendall Leon Blackwell received its 1366483638 assignment from the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the information regarding Kendall Leon Blackwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kendall Leon Blackwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-09.