Provider Profile

Kalob M. Blackwell, PA-C

Unclaimed Profile

About Kalob Blackwell

Kalob M. Blackwell, PA-C is a physician assistant practicing in Shawnee, OK. Kalob is also listed as specializing in physician assistant — medical. This provider record is associated with NPI 1710805973.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2026

Specialty

Physician Assistant (Primary)

Credentials & Licensing

OK licenceAs reported to the NPI registry
No. 6206As reported
NPINational Provider Identifier
1710805973Issued 2026

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kalob M. Blackwell?

Kalob M. Blackwell is a physician assistant in Shawnee, OK. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kalob M. Blackwell's address?

Kalob M. Blackwell is listed at 4409 N Kickapoo Ave, Shawnee, OK 74804. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kalob M. Blackwell?

The number on file is (405) 242-4100. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kalob M. Blackwell?

Kalob M. Blackwell's National Provider Identifier is 1710805973. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kalob M. Blackwell train?

Kalob M. Blackwell attended Other, graduating in 2026. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kalob M. Blackwell have?

Kalob M. Blackwell has 0 years experience. Calculated from a graduation year of 2026, reported in the CMS National Downloadable File.

CMS public data

Is Kalob M. Blackwell's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kalob M. Blackwell. If this is you, claiming it is free.

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