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Search › Colorado › 208C00000X

Kenneth Blake, MD

NPI 1174622070 · on the registry since 2006

Practice

Address
10103 Ridgegate Pkwy
Suite 208
Lone Tree, CO 80124
Phone
(303) 535-5350
Fax
(303) 535-5353
Organisation at this address
Josta Inc
Listco Inc
Tacss Pllc
Surgone, Pc
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Registry record

Primary taxonomy
208C00000X
208C00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado