Kellie Blake, RD | |
1916 Ashland Ave, Ashland, KY 41101-3943 | |
(606) 615-2585 | |
Not Available |
Full Name | Kellie Blake |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1916 Ashland Ave, Ashland, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427489301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 506 (West Virginia) | Secondary |
133V00000X | Dietitian, Registered | 2066 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kellie Blake, RD 1916 Ashland Ave, Ashland, KY 41101-3943 Ph: (606) 615-2585 | Kellie Blake, RD 1916 Ashland Ave, Ashland, KY 41101-3943 Ph: (606) 615-2585 |
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