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

JON KEVIN BLAKE MD

Active Organization

JON KEVIN BLAKE MD is a General Practice organization located in GAS CITY, Indiana. NPI 1215559331 is currently active in the NPPES registry. Verify at CMS.

General Practice · GAS CITY, IN

Registration Details

NPI Number
1215559331
Provider Type
Organization
NPI Issued
May 12, 2020 (6.2339307948324 yrs)
Last Updated
May 12, 2020

Practice Information

Address
925 E MAIN ST
GAS CITY, IN, 469331550
Browse IN providers · Browse ZIP 46933
Phone
7656747889
Primary Specialty
General Practice
208D00000X
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.