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KIMBERLY ANN BLAKE
NPI 1912634692
Technician - Personal Care Attendant in Omar, WV

Active since August 03, 2022
75 COW CREEK RD., OMAR, WV 25638(304) 733-1094 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Blake NPPES

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

KIMBERLY ANN BLAKE (NPI 1912634692) is an individual personal care attendant in Omar, West Virginia and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1912634692
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKIMBERLY ANN BLAKE
Location Address75 COW CREEK RD.Omar, WV 25638
Mailing Address75 Cow Creek Rd.Omar, WV 25638
Phone(304) 733-1094
Sole ProprietorNo
Enumeration DateAugust 3, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1912634692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
75 COW CREEK RD., Omar, WV 25638
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Blake's NPI number?

The NPI number for Kimberly Blake is 1912634692. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Kimberly Blake located?

Kimberly Blake practices at 75 Cow Creek Rd., Omar, WV 25638. The listed phone number is (304) 733-1094.

What is Kimberly Blake's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kimberly Blake was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.