Kevin K Blake, NP is a family nurse practitioner in Johnson City, TN with 32 years of experience. Kevin K Blake, NP NPI is 1174957864. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1992
The provider's business location address is:
1 PROFESSIONAL PARK DR
SUITE 21
JOHNSON CITY, TN
ZIP 37604-587
Phone: (423) 232-6900
Fax: (423) 232-6903
The NPI 1174957864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/29/2013 and was last updated on 1/27/2017.