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

MS. KIMBERLY LORENE BLAKE, FNP-C

Active

Family Nurse Practitioner · CONWAY, AR

Registration Details

NPI Number
1689971749
Provider Type
Individual
Gender
Female
NPI Issued
Feb 24, 2011 (15.170895684451 yrs)
Last Updated
May 10, 2017
License
A03482 ANP (AR)

Practice Information

Address
1125 SKYLINE DR
CONWAY, AR, 720326657
Browse AR providers · Browse ZIP 72032
Phone
5013586120
Fax
5013586268
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in CONWAY, AR

Name Credential NPI
KATHRYN S BOYD APN 1265514368
CYNTHIA LOU GRUBBS APN 1033296199
MRS. AMY M BURTON APN 1922122530
MRS. LEAH MARANDA MARTIN ANP 1033329701
MRS. HEATHER A WHITE A.P.N. 1093918997
WESLEY WARD APN 1568661395
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.