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1174622070
KENNETH D BLAKE
LONE TREE, CO
NPI
1174622070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: CO 41202)
Enumeration Date
2006-09-21
Last Update Date
2023-06-06
Business Address
KENNETH D BLAKE MD
10103 RIDGEGATE PKWY SUITE 208
LONE TREE, CO 80124-5520
Phone number: 303-535-5350
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Mailing Address
KENNETH D BLAKE MD
8490 E CRESCENT PKWY STE 380
GREENWOOD VILLAGE, CO 80111-2815
Phone number: 303-957-1310
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