Organization
WILSON PODIATRY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL LEON BLACKWELL DPM (OWNER)
(252) 237-0138
Entity
Organization
Contact information
Practice address
1704 GLENDALE DR SW, SUITE A, WILSON, NC 27893-4678
(252) 237-0138
(252) 237-7903
Mailing address
1704 GLENDALE DR SW, SUITE A, WILSON, NC 27893-4678
(252) 237-0138
(252) 237-7903
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
238
NC
Other
Enumeration date
01/12/2007
Last updated
12/29/2010
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