Individual
KAELA ELISE PARNELL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1934 ALCOA HWY # D285, KNOXVILLE, TN 37920-1524
(865) 305-9620
Mailing address
1934 ALCOA HWY # D285, KNOXVILLE, TN 37920-1524
(865) 305-9620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0000065907
TN
208600000X
Surgery Physician
20218
NH
208600000X
Surgery Physician
35.140892
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
09/16/2022
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