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Kenneth Blind
Medical Physician Assistant in West Columbia, South Carolina
NPI 1710590542

Kenneth Blind is a Medical Physician Assistant based in Fort Gordon, SC and is specialized in Medical. Kenneth Blind practices in West Columbia, SC. The NPI Number for Kenneth Blind is 1710590542 and holds a License No. 4200 (South Carolina).

The current practice location address for Kenneth Blind is 2720 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-791-2350 and via fax at 803-791-2520. You can also correspond with Kenneth Blind through the mailing address at 300 EAST HOSPITAL ROAD, FORT GORDON, GA - 30905 (mailing address contact number: ).

Location: 2720 Sunset Blvd, West Columbia, SC, 30905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710590542
Provider Name
Kenneth Blind
Credential
Provider Entity Type
Individual
Gender
Male
Address
2720 Sunset Blvd, West Columbia, SC, 30905
Phone Number
803-791-2350
Fax Number
803-791-2520
Provider Enumeration Date
08/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2720 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4810
Phone Number
803-791-2350
Fax Number
803-791-2520
person
Provider Business Mailing Address Details
Address
2720 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4810
Phone Number
803-791-2350
Fax Number
803-791-2520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4200 (South Carolina)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4200 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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