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Blake Kent Windham, MD
Student in an Organized Health Care Education/Training Program in Ocean Springs, Mississippi
NPI 1093418402

Blake Kent Windham is a Student in an Organized Health Care Education/Training Program based in Ocean Springs, MS. Blake Kent Windham practices in Ocean Springs, MS and has the professional credentials of MD. The NPI Number for Blake Kent Windham is 1093418402 and holds a License No. (Mississippi).

The current practice location address for Blake Kent Windham is 202 Ashley Pl, Ocean Springs, MS and can be reached out via phone at 228-219-1119.

Location: 202 Ashley Pl, Ocean Springs, MS, 39564-5338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093418402
Provider Name
Blake Kent Windham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202 Ashley Pl, Ocean Springs, MS, 39564-5338
Phone Number
228-219-1119
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
202 Ashley Pl
City
Ocean Springs
State
Mississippi
Zip
39564-5338
Phone Number
228-219-1119
Fax Number
person
Provider Business Mailing Address Details
Address
202 Ashley Pl
City
Ocean Springs
State
Mississippi
Zip
39564-5338
Phone Number
228-219-1119
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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