person
Dr. Kendall Leon Blackwell, DPM
Primary Podiatric Medicine Podiatrist in Wilson, North Carolina
NPI 1366483638

Kendall Leon Blackwell is a Primary Podiatric Medicine Podiatrist based in Wilson, NC and is specialized in Primary Podiatric Medicine. Kendall Leon Blackwell practices in Wilson, NC and has the professional credentials of DPM. The NPI Number for Kendall Leon Blackwell is 1366483638 and holds a License No. 238 (North Carolina).

The current practice location address for Kendall Leon Blackwell is 1704 Glendale Dr Sw, Wilson, NC and can be reached out via phone at 252-237-0138 and via fax at 252-237-7903. You can also correspond with Kendall Leon Blackwell through the mailing address at 1704 GLENDALE DR SW, WILSON, NC - 27893-4678 (mailing address contact number: 252-237-0138).

Location: 1704 Glendale Dr Sw, Wilson, NC, 27893-4678
person
Provider Profile Details
NPI Number
1366483638
Provider Name
Kendall Leon Blackwell
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1704 Glendale Dr Sw, Wilson, NC, 27893-4678
Phone Number
252-237-0138
Fax Number
252-237-7903
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79-0804G 05 NC
institution
Provider Business Practice Location Address Details
Address
1704 Glendale Dr Sw
City
State
Zip
27893-4678
Phone Number
252-237-0138
Fax Number
252-237-7903
person
Provider Business Mailing Address Details
Address
1704 Glendale Dr Sw
City
State
Zip
27893-4678
Phone Number
252-237-0138
Fax Number
252-237-7903
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
238 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
238 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
238 (North Carolina)
Definition
Definition to come...
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