Organization · Type 2 NPI
Jon Kevin Blake MD
General Practice Physician · Gas City, IN
NPI number
1215559331
Active
Practice location
925 E Main St
Gas City, IN 46933-1550
Mailing address
PO Box 1889
Muncie, IN 47308-1889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1215559331
Jon Kevin Blake MD's National Provider Identifier is 1215559331, issued on May 12, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gas City, IN. The record was last updated on May 12, 2020.