Individual
KENNETH BLAINE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 W TENNESSEE AVE, OAK RIDGE, TN 37830-6502
(865) 294-4792
Mailing address
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2022-01686
NC
207L00000X
Anesthesiology Physician
Primary
70993
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
08/09/2024
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