Individual provider · Type 1 NPI
Blake Kent Windham, MD
Student in an Organized Health Care Education/Training Program · Ocean Springs, MS
NPI number
1093418402
Active
Practice location
202 Ashley Pl
Ocean Springs, MS 39564-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1093418402
Blake Kent Windham, MD's National Provider Identifier is 1093418402, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ocean Springs, MS. The record was last updated on Mar 24, 2023.