KELLY A BLAKE

PANSURIYA CLINICAL CORPORATION

Dr KELLY A BLAKE is a female medical professional, specializing in Physician Assistant. She graduated in 2007.

Contact

PANSURIYA CLINICAL CORPORATION

2111 HANOVER PIKE
HAMPSTEAD
MD
210741319

Tel: 4102397073

KELLY A BLAKE Information

Npi 1942487673
Pac Id 0547347924
Professional Enrollment Id I20080409000522
Last Name BLAKE
First Name KELLY
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PANSURIYA CLINICAL CORPORATION
Group Practice Pac Id 2365505435
Number Of Group Practice Members 3
Line 1 Street Address 2111 HANOVER PIKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HAMPSTEAD
State MD
Zip Code 210741319
Phone Number 4102397073
Hospital Affiliation Ccn 1 210033
Hospital Affiliation Lbn 1 CARROLL HOSPITAL CENTER
Hospital Affiliation Ccn 2 390233
Hospital Affiliation Lbn 2 HANOVER HOSPITAL
Hospital Affiliation Ccn 3 210012
Hospital Affiliation Lbn 3 SINAI HOSPITAL OF BALTIMORE
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know KELLY A BLAKE?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.