Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH BLIND
ActiveKENNETH BLIND is a Medical Physician Assistant healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1710590542 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1710590542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2020 (5.9736081576615 yrs)
- Last Updated
- Apr 20, 2023
- Licenses
-
4200 (SC)4200 (SC)
Practice Information
- Address
-
2720 SUNSET BLVDWEST COLUMBIA, SC, 291694810Browse SC providers · Browse ZIP 29169
- Phone
- 8037912350
- Fax
- 8037912520
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MS. SHELLEY G. STEVENS | PA-C | 1639151475 |
| MS. SUZANNE J SMITH | PA | 1760582621 |
| MICHELLE LYNN EVANS | PHYSICIAN ASSISTANT | 1952631988 |
| MRS. MORGAN MIXON ARMSTRONG | PA-C | 1790148823 |
| WILFREDO AUSTIN VILLARRUBIA | PA-C | 1568992030 |
| ALYSSA D GRISHAM | PA-C | 1962913921 |
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.