Blake, Kori

Blake, Kori is an individual health care provider with primary practice located at 1107 Glen Dale Heights Rd , Glen Dale WV 26038-1092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blake, Kori can be contacted via phone (304) 281-4344.

Contact Information

Primary practice address
1107 Glen Dale Heights Rd Glen Dale WV 26038-1092
Phone: (304) 281-4344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1790553576
LBN Legal business name Blake, Kori
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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