Dr KENDALL T BLAKE MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1971 from Vanderbilt University School Of Medicine.
1600 N STATE ST
SUITE 400
JACKSON
MS
392021689
Tel: 6019441717
| Npi | 1427072966 |
| Pac Id | 7911987052 |
| Professional Enrollment Id | I20040721000319 |
| Last Name | BLAKE |
| First Name | KENDALL |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1600 N STATE ST |
| Line 2 Street Address | SUITE 400 |
| Marker Of Address Line 2 Suppression | |
| City | JACKSON |
| State | MS |
| Zip Code | 392021689 |
| Phone Number | 6019441717 |
| Hospital Affiliation Ccn 1 | 250102 |
| Hospital Affiliation Lbn 1 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 250001 |
| Hospital Affiliation Lbn 2 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 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 |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.