Glynn, Blake Adam

Glynn, Blake Adam is an individual health care provider with primary practice located at Blanchfield Army Community Hospital 650 Joel Drive, Fort Campbell KY 42223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Glynn, Blake Adam can be contacted via phone (270) 798-8400.

Contact Information

Primary practice address
Blanchfield Army Community Hospital 650 Joel Drive Fort Campbell KY 42223
Phone: (270) 798-8400
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1891283842
LBN Legal business name Glynn, Blake Adam
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Dec 13th, 2018 - about 7 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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