Individual
BLAKE KANDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S POTOMAC ST STE 150, AURORA, CO 80012-4541
(720) 476-3421
(720) 502-5271
Mailing address
1400 S POTOMAC ST STE 150, AURORA, CO 80012-4541
(720) 307-7246
(720) 502-5271
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DR.0065176
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD192439
OR
Other
Enumeration date
04/02/2015
Last updated
07/16/2021
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