Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLEY E BLAKE in DOTHAN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1770737249 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/11/2008 | |
| Last updated | 02/21/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLEY E BLAKE
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KELLEY E BLAKE, CRNP