Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN BLAKLEY, PSY.D.
ActiveDR. KEVIN BLAKLEY, PSY.D. is a Clinical Neuropsychologist healthcare provider located in ELMENDORF AFB, Alaska. NPI 1295794147 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ELMENDORF AFB, AK
Registration Details
- NPI Number
- 1295794147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2006 (20.360435347144 yrs)
- Last Updated
- Feb 11, 2009
- License
-
1742 (AZ)
Practice Information
- Address
-
5955 ZEAMER AVEELMENDORF AFB, AK, 995063702Browse AK providers · Browse ZIP 99506
- Phone
- 9075803114
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.