Individual provider · Type 1 NPI
Kendall Leon Blackwell, DPM
Primary Podiatric Medicine Podiatrist · Wilson, NC
NPI number
1366483638
Active
Practice location
1704 Glendale Dr SW, Suite A
Wilson, NC 27893-4678
Fax (252) 237-7903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 238 (NC) |
| Foot Surgery Podiatrist | 213ES0131X | 238 (NC) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 238 (NC) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1366483638
Kendall Leon Blackwell, DPM's National Provider Identifier is 1366483638, issued on Jun 9, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Wilson, NC. The record was last updated on Aug 9, 2022.