Individual provider · Type 1 NPI

Kimberly Thornton Blake, PA

Physician Assistant · Sanford, FL

NPI number 1295030195 Active

Practice location

1401 W Seminole Blvd
Sanford, FL 32771-6743

Call (800) 893-9698 Map

Mailing address

200 Corporate Blvd, Suite 201
Lafayette, LA 70508-3870

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9105774 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295030195

Kimberly Thornton Blake, PA's National Provider Identifier is 1295030195, issued on Jan 24, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sanford, FL. The record was last updated on Jan 24, 2011.