Search › Oklahoma › 363AM0700X
Kalob Blackwell, PA-C
NPI 1710805973 · on the registry since 2026
Practice
- Address
- 4409 N Kickapoo Ave
Shawnee, OK 74804 - Phone
- (405) 242-4100
- Organisation at this address
- Gkw - Opm Llc
Ocean Dental, Pc
10zero5 Ventures, Inc
Nkr Enterprises, Aprn-Cnp, Pllc
Renal Treatment Centers West IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1703 Professional Cir Ste 101, Yukon, OK
- 3601 Nw 138th St Ste 200, Oklahoma City, OK
- 4023 N Flood Ave, Norman, OK
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-09
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 Oklahoma