Mrs. Kelly A Blake, PA-C
Physician Assistant in Allentown, Pennsylvania
1942487673- Practice location
- 410 N Krocks RD, Allentown, PA 18106-9283
- Phone
- 888-982-8594
- Fax
- 888-982-8594
- Last updated
- February 16, 2023
Kelly Ann Blake is a Physician Assistant based in Allentown, PA. Kelly Ann Blake practices in Allentown, PA and has the professional credentials of PA-C. The NPI Number for Kelly Ann Blake is 1942487673 and holds a License No. C0003708 (MD). The current practice location address for Kelly Ann Blake is 410 N Krocks RD, Allentown, PA 18106-9283 and can be reached out via phone at 888-982-8594 and via fax at 888-982-8594.
Provider Profile Details
- NPI Number
- 1942487673
- Provider Name
- Kelly Ann Blake
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 410 N Krocks RD, Allentown, PA 18106-9283
- Phone Number
- 888-982-8594
- Fax Number
- 888-982-8594
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 24, 2008
- Last Update Date
- February 16, 2023
- Certification Date
- February 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 410 N Krocks RD
Allentown, PA 18106-9283 - City
- Allentown
- State
- Pennsylvania
- Zip
- 18106-9283
- Phone Number
- 888-982-8594
- Fax Number
- 888-982-8594
Provider Business Mailing Address Details
- Address
- Po Box 159
Barrington, NJ 08007-0159 - City
- Barrington
- State
- NJ
- Zip
- 08007-0159
License Information
- License Number
- C0003708
- License State
- MD
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kelly A Blake, PA-C?
The NPI number of Mrs. Kelly A Blake, PA-C is 1942487673. It was assigned on January 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly A Blake, PA-C?
Mrs. Kelly A Blake, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MD under license number C0003708.
Where does Mrs. Kelly A Blake, PA-C practice?
The practice location is 410 N Krocks RD, Allentown, PA 18106-9283. The office can be reached at 888-982-8594 (phone) or 888-982-8594 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942487673 directly on the NPPES registry website.