NPI 1003901133

Douglas Blacklidge, DPM

Practitioner Foot & Ankle Surgery Podiatrist Kokomo, IN

Practice location

Address: 2341 W Lincoln Rd, Kokomo, IN 46902-8012
Phone: (844) 424-3668
Fax: (317) 575-6909

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 070007898 (IN)

Other Podiatrist providers in Indiana →

Registry record

NPI: 1003901133
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 22 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.