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

W KENNY BLAKE MD LLC

Active Organization

W KENNY BLAKE MD LLC is a Family Medicine organization located in MONTICELLO, Georgia. NPI 1093011314 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MONTICELLO, GA

Registration Details

NPI Number
1093011314
Provider Type
Organization
NPI Issued
Feb 3, 2011 (15.342429061007 yrs)
Last Updated
Feb 4, 2011

Practice Information

Address
545 VENTURE COURT
MONTICELLO, GA, 31064
Browse GA providers · Browse ZIP 31064
Phone
7064687002
Fax
7064687020
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in MONTICELLO, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.