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Individual

CALEY ELIZABETH BLAKE

Active
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Individual

CALEY ELIZABETH BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011780
VA
363A00000X
Physician Assistant
PA2847
KY
363A00000X
Physician Assistant
Primary
TC135
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—

Other

Enumeration date
06/28/2021
Last updated
06/10/2026
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