Individual provider · Type 1 NPI

Kevin K. Blake, NP

Family Nurse Practitioner · Kingsport, TN

NPI number 1174957864 Active

Practice location

2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 · (423) 232-6900
  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 · (423) 282-0751

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X148275 (TN)
Family Nurse Practitioner Primary 363LF0000X17873 (TN)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1174957864

Kevin K. Blake, NP's National Provider Identifier is 1174957864, issued on Aug 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 31, 2023.