KENDALL T BLAKE

JACKSON, MS
NPI1427072966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: MS  06797)
Enumeration Date2006-07-27
Last Update Date2014-03-07
Business Address
-- KENDALL T BLAKE MD
2500 N STATE ST DEPT OF ORTHOPEDICS
JACKSON, MS 39216-4500
Phone number: 601-984-6525
Mailing Address
-- KENDALL T BLAKE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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