Individual provider · Type 1 NPI
Katherine Anne Blake
Student in an Organized Health Care Education/Training Program · Dallas, GA
NPI number
1205691763
Active
Practice location
393 Valor Ridge Dr
Dallas, GA 30132-2382
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 1205691763
Katherine Anne Blake's National Provider Identifier is 1205691763, issued on Feb 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, GA. The record was last updated on Feb 14, 2024.