Kenneth Blind

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

47 Dorclin LN
Saint Louis, MO 63128-1426

Phone

(314) 467-0901

NPI assigned

Aug 3, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1295288561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DORCLIN LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 DORCLIN LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281426",
            "telephone_number": "314-467-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIND",
        "first_name": "KENNETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blick Health Inc.
• Heather Renee Blickenstaff, MD
• Gregory William Bligard, MD PHD
• Katherine Hollister Bligard, MD
• Richard Allan Bligh, MD
• Morey A Blinder, MD
• Andrew Perry Bliss, PA-C
• Jennifer K Bliss, PLPC
• Blissful Living Assistance LLC
• Audrey Block

• All providers in Saint Louis, MO
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.