Individual
BLAKELY ADAMS MCCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5555
Mailing address
210 CHATTANOOGA AVE, LOUISVILLE, KY 40214-5739
(270) 903-5190
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1178445
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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