Kenneth Blake, HIS is a
Hearing Instrument Specialist based in Rancho Mirage, California. Kenneth Blake is licensed to practice in California (license number HA7407) and his current practice location is
39000 Bob Hope Drive Probst 315, Rancho Mirage, California. He can be reached at his office (for appointments etc.) via phone at
(760) 625-6616.
NPI number for Kenneth Blake is 1013933589 and his current mailing address is 39000 Bob Hope Drive Probst 315, Rancho Mirage, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013933589.
Healthcare Provider's Profile
| Full Name | Kenneth Blake |
|---|
| Gender | Male |
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| Speciality | Hearing Instrument Specialist |
|---|
| Location | 39000 Bob Hope Drive Probst 315, Rancho Mirage, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013933589
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 06/04/2019
Medical Identifiers
Medical identifiers for Kenneth Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013933589 | NPI | - | NPPES |
| DC172371 | Other | CA | INSURANCE COMPANIES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC172371 (California) | Secondary |
| 111N00000X | Chiropractor | DC17237 (California) | Secondary |
| 237700000X | Hearing Instrument Specialist | HA7407 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Blake, HIS
39000 Bob Hope Drive Probst 315,
Rancho Mirage, CA 92270-3221
Ph: (760) 625-6616 | Kenneth Blake, HIS
39000 Bob Hope Drive Probst 315,
Rancho Mirage, CA 92270-3221
Ph: (760) 625-6616 |
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