Wilson Podiatry Associates, PA

NPI #1275684730 in Wilson, North Carolina

Provider Information

NPI Number: 1275684730
Entity Type: Organization
Organization Name: Wilson Podiatry Associates, PA
Primary Specialty: Podiatrist
Enumeration Date: Jan 12, 2007
Last Updated: Dec 29, 2010

Practice Location

Address: 1704 GLENDALE DR SW
Address 2: SUITE A
City: Wilson
State: North Carolina
ZIP Code: 27893-4678
Phone: (252) 237-0138

Authorized Official

Name: DR. KENDALL LEON BLACKWELL, DPM
Title: OWNER
Phone: (252) 237-0138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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