Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN BLAKE, PA-C
ActiveBENJAMIN BLAKE, PA-C is a Physician Assistant healthcare provider located in NEODESHA, Kansas. NPI 1053806539 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEODESHA, KS
Registration Details
- NPI Number
- 1053806539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2018 (8.132324024404 yrs)
- Last Updated
- Sep 25, 2024
- License
-
15-02102
Practice Information
- Address
-
2600 OTTAWA RDNEODESHA, KS, 667571897Browse KS providers · Browse ZIP 66757
- Phone
- 6203252611
- Fax
- 6203258453
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEODESHA, KS
| Name | Credential | NPI |
|---|---|---|
| MRS. ASHLEY GAIL BEMO | PA-C | 1922303734 |
| KRISTOPHER E KUSZAK | PA | 1285292680 |
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.