Individual provider · NPI-1
Andrew Blakley
Internal Medicine · Somerset, KY
NPI number1255790051
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1255790051
- Entity type
- Individual (NPI-1)
- Name
- Andrew Blakley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2016
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 04364 | KY | Yes |
Practice location
350 Hospital WaySuite 101
Somerset, KY 42503-2872
Phone 606-451-5093
Mailing address
350 Hospital WaySuite 101
Somerset, KY 42503-2872
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