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Blake Allen Lewis
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1598457384

Blake Allen Lewis is a Student in an Organized Health Care Education/Training Program based in Kirksville, MO. Blake Allen Lewis practices in Kirksville, MO. The NPI Number for Blake Allen Lewis is 1598457384 and holds a License No. (Missouri).

The current practice location address for Blake Allen Lewis is 500 West Jefferson St, Kirksville, MO and can be reached out via phone at 866-626-2878.

Location: 500 West Jefferson St, Kirksville, MO, 63501-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598457384
Provider Name
Blake Allen Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 West Jefferson St, Kirksville, MO, 63501-3946
Phone Number
866-626-2878
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 West Jefferson St
City
Kirksville
State
Missouri
Zip
63501
Phone Number
866-626-2878
Fax Number
person
Provider Business Mailing Address Details
Address
500 West Jefferson St
City
Kirksville
State
Missouri
Zip
63501
Phone Number
866-626-2878
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
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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