Kendall T Blake
MD | Orthopaedic Surgery of the Spine
2500 N State St, Dept Of Orthopedics, Jackson
Mississippi, 39216-4500
601-984-6525 Maps & DirectionsKendall T Blake is a Jackson, Mississippi based 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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.