IndividualActive
Kenneth Blake, MD
NPI 1174622070 · Colon & Rectal Surgery Physician · Lone Tree, CO
Provider details
- NPI number
- 1174622070
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41202 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10103 Ridgegate Pkwy
Suite 208
Lone Tree, CO 80124-5520
Phone: (303) 535-5350
Fax: (303) 535-5353
Approximate (ZIP-level) locationGet directions
Mailing address
8490 E Crescent Pkwy Ste 380
Greenwood Village, CO 80111-2815
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.