KENDALL L BLACKWELL

INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC

Dr KENDALL L BLACKWELL is a male medical professional, specializing in Podiatry. He graduated in 1987 from Ohio College Of Podiatric Medicine.

Contact

INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC

1704 GLENDALE DR SW
SUITE A
WILSON
NC
278934679

Tel: 2522370138

KENDALL L BLACKWELL Information

Npi 1366483638
Pac Id 9133318553
Professional Enrollment Id I20110114000872
Last Name BLACKWELL
First Name KENDALL
Middle Name L
Suffix
Gender M
Credential
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1987
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Group Practice Pac Id 7012168271
Number Of Group Practice Members 74
Line 1 Street Address 1704 GLENDALE DR SW
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City WILSON
State NC
Zip Code 278934679
Phone Number 2522370138
Hospital Affiliation Ccn 1 340126
Hospital Affiliation Lbn 1 WILSON MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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