What is Kimberly Blake's NPI number?

The NPI number assigned to this healthcare provider is 1811306418, enumerated as a individual on August 7, 2014.

Where is the provider located?

The provider is located at 815 W 5TH NORTH ST MORRISTOWN, TN 37814 and the phone number is (423) 586-5032.

What is the provider's specialty?

The provider's specialty is Technician, Other with taxonomy code 247200000X.

KIMBERLY BLAKE A.A.S./CCMA - NPI 1811306418 - Technician, Other in Morristown, TN

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About Kimberly Blake A.a.s./ccma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BLAKE A.A.S./CCMA (NPI 1811306418) is an individual technician, other provider in Morristown, Tennessee and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1811306418

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameKIMBERLY BLAKECredential: A.A.S./CCMA

Location Address815 W 5TH NORTH STMorristown, TN 37814-3810

Mailing Address6350 W Andrew Johnson Hwy, Department 100Talbott, TN 37877-8605 · (800) 355-3565 · Fax (423) 714-2355

Phone(423) 586-5032

Fax(423) 581-8473

Sole ProprietorNo

Enumeration DateAugust 7, 2014

✔ NPI 1811306418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

815 W 5TH NORTH ST, Morristown, TN 37814

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