Individual
BLAKE DANIEL KOCEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1583 HEALTH CARE DR, ROCK HILL, SC 29732-3858
(704) 706-7446
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-7015
(980) 302-7010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5016262
NC
363LF0000X
Family Nurse Practitioner
Primary
27865
SC
Other
Enumeration date
03/22/2022
Last updated
11/11/2025
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