Individual
DR. BLAKE KENNEDY WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., M.S.
Contact information
Practice address
550 CONNELL PARK LN, BATON ROUGE, LA 70806-6539
(225) 984-2020
Mailing address
1719 PENISTON ST, NEW ORLEANS, LA 70115-4630
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
208152
LA
Other
Enumeration date
05/04/2011
Last updated
02/23/2018
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