person
Ms. Kelley E Blake, CRNP
Family Nurse Practitioner in Dothan, Alabama
NPI 1770737249

Kelley E Blake is a Family Nurse Practitioner based in Dothan, AL and is specialized in Family. Kelley E Blake practices in Dothan, AL and has the professional credentials of CRNP. The NPI Number for Kelley E Blake is 1770737249 and holds a License No. 1-150592 (Alabama).

The current practice location address for Kelley E Blake is 3332 W Main St Ste 2, Dothan, AL and can be reached out via phone at 334-246-2577 and via fax at 949-561-5764.

Location: 3332 W Main St Ste 2, Dothan, AL, 36305-1019
person
Provider Profile Details
NPI Number
1770737249
Provider Name
Kelley E Blake
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3332 W Main St Ste 2, Dothan, AL, 36305-1019
Phone Number
334-246-2577
Fax Number
949-561-5764
Provider Enumeration Date
11/11/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181693 05 AL
institution
Provider Business Practice Location Address Details
Address
3332 W Main St Ste 2
City
State
Zip
36305-1019
Phone Number
334-246-2577
Fax Number
949-561-5764
person
Provider Business Mailing Address Details
Address
3332 W Main St Ste 2
City
State
Zip
36305-1019
Phone Number
334-246-2577
Fax Number
949-561-5764
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-150592 (Alabama)
Definition
Definition to come...
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