DR. Kendall Leon Blackwell, DPM

NPI #1366483638 in Wilson, North Carolina

Provider Information

NPI Number: 1366483638
Entity Type: Individual
Name: DR. Kendall Leon Blackwell, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Credential: DPM
Enumeration Date: Jun 9, 2006
Last Updated: Aug 9, 2022

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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