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Individual
BLAKELY ADAMS MCCALISTER
Active
Individual
BLAKELY ADAMS MCCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1178445
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1178445
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4063372
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2024
Last updated
09/22/2026
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