Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENDALL LEON BLACKWELL, DPM
ActiveDR. KENDALL LEON BLACKWELL, DPM is a Radiology Podiatrist healthcare provider located in WILSON, North Carolina. NPI 1366483638 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · WILSON, NC
Registration Details
- NPI Number
- 1366483638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.138448632216 yrs)
- Last Updated
- Aug 9, 2022
- Licenses
-
238 (NC)238 (NC)238 (NC)
Practice Information
- Address
-
1704 GLENDALE DR SWSUITE AWILSON, NC, 278934678Browse NC providers · Browse ZIP 27893
- Phone
- 2522370138
- Fax
- 2522377903
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.