National Provider Identifier
Kathleen Susan Blake
Kathleen Susan Blake is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Livonia, NY and a listed phone number of (401) 316-2777.
Profile Overview
- NPI
- 1841032745
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 11, 2024
- Last Updated
- June 11, 2024
Practice Location
- 5988 Price RD
- Livonia, NY 14487-9672
Phone: (401) 316-2777
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1841032745
- Entity Type
- Individual
- Last Name
- Blake
- First Name
- Kathleen
- Middle Name
- Susan
- Mailing Street Address
- 5988 Price RD
- Mailing City
- Livonia
- Mailing State
- NY
- Mailing ZIP Code
- 14487-9672
- Mailing Country
- US
- Mailing Phone
- (401) 316-2777
- Practice Street Address
- 5988 Price RD
- Practice City
- Livonia
- Practice State
- NY
- Practice ZIP Code
- 14487-9672
- Practice Country
- US
- Practice Phone
- (401) 316-2777
- Enumeration Date
- June 11, 2024
- Last Updated
- June 11, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)