Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Blackmon, MD

Individual provider Anesthesiology Physician · NPI 1538121892

Kevin Blackmon, MD is an Anesthesiology in Olympia, Washington. Qualified in 1991, 35 years ago. Practices with Rainier Anesthesia Associates PC, a 69-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3624 Ensign Rd NE Ste B
Olympia, WA 98506-5074
Phone: (360) 493-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 36968 (WA)

Record details

NPI number1538121892
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESSeptember 26, 2012
Mailing address804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Rainier Anesthesia Associates Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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