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

KIMBERLY THORNTON BLAKE, PA

Active

KIMBERLY THORNTON BLAKE, PA is a Physician Assistant healthcare provider located in SANFORD, Florida. NPI 1295030195 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SANFORD, FL

Registration Details

NPI Number
1295030195
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2011 (15.370763742661 yrs)
Last Updated
Jan 24, 2011
License
PA9105774 (FL)

Practice Information

Address
1401 W SEMINOLE BLVD
SANFORD, FL, 327716743
Browse FL providers · Browse ZIP 32771
Phone
8008939698
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SANFORD, FL

Name Credential NPI
MRS. SANDRA VERRET JOACHIM RPAC 1063448702
MR. ANWAR CHOWDHURY PA PHYSICIAN ASSISTA 1427111715
KEITH I YATTAW PA-C 1588872824
REBECKA D EWBANK PA-C 1629246681
MATTHEW COMBES PA-C 1164881751
RADHARANI WOODS VIZCAINO 1912452046
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.