Individual provider · Type 1 NPI
Kelley E. Blake, CRNP
Family Nurse Practitioner · Dothan, AL
NPI number
1770737249
Active
Practice location
3332 W Main St Ste 2
Dothan, AL 36305-1019
Fax (949) 561-5764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-150592 (AL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- Karis Hurst, NPFamily Nurse Practitioner Dothan, AL NPI 1023775202
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About NPI 1770737249
Kelley E. Blake, CRNP's National Provider Identifier is 1770737249, issued on Nov 11, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dothan, AL. The record was last updated on Feb 21, 2025.