KALOB MICHAEL BLACKWELL PA-C
NPI 1710805973
Physician Assistant - Medical in Shawnee, OK
About Kalob Michael Blackwell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALOB MICHAEL BLACKWELL PA-C (NPI 1710805973) is an individual medical provider in Shawnee, Oklahoma, licensed in Oklahoma (6206) and active in the NPI registry since July 2026. He maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAWNEE, OK 74804
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kalob Blackwell's NPI number?
The NPI number for Kalob Blackwell is 1710805973. It was assigned to this individual provider in the NPPES registry on July 7, 2026.
Where is Kalob Blackwell located?
Kalob Blackwell practices at 4409 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 242-4100.
What is Kalob Blackwell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Kalob Blackwell was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
