person
Jacques D Blackman, MD
Family Medicine Physician in Wichita, Kansas
NPI 1023040334

Jacques D Blackman is a Family Medicine Physician based in Wichita, KS. Jacques D Blackman practices in Wichita, KS and has the professional credentials of MD. The NPI Number for Jacques D Blackman is 1023040334 and holds a License No. 17181 (Kansas).

The current practice location address for Jacques D Blackman is 13213 W 21St St N, Wichita, KS and can be reached out via phone at 316-945-0142 and via fax at 316-946-1760.

Location: 13213 W 21St St N, Wichita, KS, 67208-0035
person
Provider Profile Details
NPI Number
1023040334
Provider Name
Jacques D Blackman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13213 W 21St St N, Wichita, KS, 67208-0035
Phone Number
316-945-0142
Fax Number
316-946-1760
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021348 01 MEDICARE
100205200A 05 KS
institution
Provider Business Practice Location Address Details
Address
13213 W 21St St N
City
State
Zip
67235-9625
Phone Number
316-945-0142
Fax Number
316-946-1760
person
Provider Business Mailing Address Details
Address
13213 W 21St St N
City
State
Zip
67235-9625
Phone Number
316-945-0142
Fax Number
316-946-1760
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
17181 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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