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Kevin K Blake, NP
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1174957864

Kevin K Blake is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Kevin K Blake practices in Kingsport, TN and has the professional credentials of NP. The NPI Number for Kevin K Blake is 1174957864 and holds a License No. 148275 (Tennessee).

The current practice location address for Kevin K Blake is 2202 N John B Dennis Hwy Ste 100, Kingsport, TN and can be reached out via phone at 423-578-8500. You can also correspond with Kevin K Blake through the mailing address at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN - 37604-2192 (mailing address contact number: 423-302-6565).

Location: 2202 N John B Dennis Hwy Ste 100, Kingsport, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174957864
Provider Name
Kevin K Blake
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2202 N John B Dennis Hwy Ste 100, Kingsport, TN, 37604-2192
Phone Number
423-578-8500
Fax Number
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q008564 05 TN
1174957864 05 VA
institution
Provider Business Practice Location Address Details
Address
2202 N John B Dennis Hwy Ste 100
City
Kingsport
State
Tennessee
Zip
37660-5904
Phone Number
423-578-8500
Fax Number
person
Provider Business Mailing Address Details
Address
2202 N John B Dennis Hwy Ste 100
City
Kingsport
State
Tennessee
Zip
37660-5904
Phone Number
423-578-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
17873 (Tennessee)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
148275 (Tennessee)
Definition
Definition to come...
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