Blake, Kyle

Blake, Kyle is an individual health care provider with primary practice located at 952 Old Mail Ln , Sanford FL 32773-8167. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Blake, Kyle can be contacted via phone (352) 504-6979.

Contact Information

Primary practice address
952 Old Mail Ln Sanford FL 32773-8167
Phone: (352) 504-6979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1568827640
LBN Legal business name Blake, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 10 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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