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Candler Kimsey Blake, MD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1679261796

Candler Kimsey Blake is a Student in an Organized Health Care Education/Training Program based in Sautee Nacoochee, NC. Candler Kimsey Blake practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Candler Kimsey Blake is 1679261796 and holds a License No. (North Carolina).

The current practice location address for Candler Kimsey Blake is 1350 S. Kngs Dr, Charlotte, NC and can be reached out via phone at 704-466-1242 and via fax at 704-446-1241.

Location: 1350 S. Kngs Dr, Charlotte, NC, 30571-3508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679261796
Provider Name
Candler Kimsey Blake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1350 S. Kngs Dr, Charlotte, NC, 30571-3508
Phone Number
704-466-1242
Fax Number
704-446-1241
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1350 S. Kngs Dr
City
Charlotte
State
North Carolina
Zip
28207
Phone Number
704-466-1242
Fax Number
704-446-1241
person
Provider Business Mailing Address Details
Address
1350 S. Kngs Dr
City
Charlotte
State
North Carolina
Zip
28207
Phone Number
704-466-1242
Fax Number
704-446-1241
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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