Kendall T Blake is a Jackson, Mississippi based male orthopedic surgeon who is specialized in Orthopaedic Surgery of the Spine. Active license number of Kendall T Blake is 06797 for Orthopaedic Surgery of the Spine in Mississippi.
Kendall T Blake deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Kendall T Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Surgery of the Spine
Credentials:
MD
Gender:
Male
Practice Address:
2500 N State St, Dept Of Orthopedics, Jackson, Mississippi, 39216-4500
Phone:
601-984-6525
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1427072966
NPI Enumeration Date:
27 Jul, 2006
NPI Last Update On:
07 Mar, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendall T Blake are as mentioned below.
License Number
Specialization
State
Status
06797
Orthopaedic Surgery of the Spine
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kendall T Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00116141
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2500 N State St, Jackson, Mississippi
Zip:
39216-4500
Phone Number:
601-984-6426
Fax Number:
601-984-6439
Patients can reach Kendall T Blake at 2500 N State St, Dept Of Orthopedics, Jackson, Mississippi or can call to book an appointment on 601-984-6525. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.