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Kent William Blakely, MD
Rheumatology Physician in Edmonds, Washington
NPI 1134222458

Kent William Blakely is a Rheumatology Physician based in Edmonds, WA and is specialized in Rheumatology. Kent William Blakely practices in Edmonds, WA and has the professional credentials of MD. The NPI Number for Kent William Blakely is 1134222458 and holds a License No. G162755 (Washington).

The current practice location address for Kent William Blakely is 14324 52Nd Ave W Unit B, Edmonds, WA and can be reached out via phone at 425-951-0704.

Location: 14324 52Nd Ave W Unit B, Edmonds, WA, 98026-3803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134222458
Provider Name
Kent William Blakely
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14324 52Nd Ave W Unit B, Edmonds, WA, 98026-3803
Phone Number
425-951-0704
Fax Number
Provider Enumeration Date
09/06/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MED-PHYS-COM-LIC-112 01 MT STATE LICENSE
MD042525L 01 PA STATE LICENSE
MD60640236 01 WA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
14324 52Nd Ave W Unit B
City
Edmonds
State
Washington
Zip
98026-3803
Phone Number
425-951-0704
Fax Number
person
Provider Business Mailing Address Details
Address
14324 52Nd Ave W Unit B
City
Edmonds
State
Washington
Zip
98026-3803
Phone Number
425-951-0704
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
G162755 (California)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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