NPI 1174622070

Kenneth D Blake, MD

Practitioner Colon & Rectal Surgery Physician Lone Tree, CO

Practice location

Address: 10103 Ridgegate Pkwy Suite 208, Lone Tree, CO 80124-5520
Phone: (303) 535-5350
Fax: (303) 535-5353
Mailing address: 8490 E Crescent Pkwy STE 380, Greenwood Village, CO 80111-2815

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 41202 (CO)

Other Colon & Rectal Surgery providers in Colorado →

Registry record

NPI: 1174622070
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2006
Record last updated: 6 Jun 2023

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.