KENNETH D BLAKE MD
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1174622070- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 10103 RIDGEGATE PKWY SUITE 208, LONE TREE, CO, 801245520
- Phone
- (303) 535-5350
- Fax
- (303) 535-5353
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: CO #41202