Kendall T Blake

MD | Orthopaedic Surgery of the Spine


  
2500 N State St, Dept Of Orthopedics, Jackson
Mississippi, 39216-4500

 601-984-6525   Maps & Directions
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 NumberSpecializationStateStatus
06797Orthopaedic Surgery of the Spine MississippiPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kendall T Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00116141MedicaidMississippi
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 09 December, 2024.

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