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.

NPI 1841032745Livonia, NYLicensed Practical Nurse

Source: public NPPES record, last updated June 11, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

Kathleen Susan Blake is a licensed practical nurse based in the Livonia, New York area. Publicly available professional sources do not identify a health-system affiliation, faculty role, or detailed training history, so her profile is best limited to her documented New York nursing credential rather than unsupported practice claims.

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)