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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH BLAKE, H.I.S.

Active Sole Proprietor

KENNETH BLAKE, H.I.S. is a Hearing Instrument Specialist healthcare provider located in RANCHO MIRAGE, California. NPI 1013933589 is currently active in the NPPES registry. Verify at CMS.

Hearing Instrument Specialist · RANCHO MIRAGE, CA

Registration Details

NPI Number
1013933589
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2006 (20.040972216618 yrs)
Last Updated
Jun 4, 2019
Licenses
DC172371 (CA)
DC17237 (CA)
HA7407 (CA)
Sole Proprietor
Yes

Practice Information

Address
39000 BOB HOPE DRIVE PROBST 315
RANCHO MIRAGE, CA, 922703221
Browse CA providers · Browse ZIP 92270
Phone
7606256616
Fax
4426663766
Primary Specialty
Hearing Instrument Specialist
237700000X
Additional Specialty
Chiropractor
Additional Specialty
Hearing Instrument Specialist

Other Hearing Instrument Specialist Providers in RANCHO MIRAGE, CA

Name Credential NPI
MR. TIMOTHY P LIDDY HAD 1124149315
MR. RUSSELL MARTIN FOSS BC-HIS 1104949957
MS. CAROLE A VAN STRATEN HAD 1154659472
MS. CHRISTINA A CAMPBELL HAD 1598094260
CRAIG WHITCOMB HAD 1811318462
KATRINA COX HAD 1073900023
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.