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KEVIN K BLAKE NP

NP

Family Nurse Practitioner

NPI: 1174957864IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

148275(TN)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

17873(TN)

Education

EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE

Class of 1992

Contact & Hours

Via MOUNTAIN STATES HEALTH ALLIANCE · 3 locations total

Address
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Practice locations map

Locations (3)

MOUNTAIN STATES HEALTH ALLIANCE

1 PROFESSIONAL PARK DR, JOHNSON CITY, TN
(423) 232-6900

Practice Location

378 MARKETPLACE BLVD STE 5, JOHNSON CITY, TN
(423) 282-0751

Practice Location

2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN
(423) 578-8500

Quick Facts

NPI
1174957864
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
34

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