Kendall Leon Blackwell in Wilson - Foot & Ankle Surgery

Kendall Leon Blackwell - NPI 1366483638

Kendall Leon Blackwell is a Foot & Ankle Surgery in Wilson, North Carolina. Kendall Leon Blackwell practices all healthcare services and medical treatments related to Foot & Ankle Surgery. 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 Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 238
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
79-0804G NC --

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FAQs about Kendall Leon Blackwell

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 Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.

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.

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