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Contact Information

KATHLEEN D BLAKE, MD
7420 GOODING BLVD STE 100
DELAWARE, OH43015-7086
 Phone: 740-657-8000
 Fax: 740-657-8100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN D BLAKE · (Female)

NPI # 1235392275
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2008
Last updated 02/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 35088684
  • OH Medicaid 2890242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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