Individual
KATHLEEN DEGROFT BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7420 GOODING BLVD STE 100, DELAWARE, OH 43015-7086
(740) 657-8000
(740) 657-8100
Mailing address
7750 DILEY RD STE A, CANAL WINCHESTER, OH 43110-7758
(614) 837-7337
(614) 837-7335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35088684
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2890242
—
OH
Enumeration date
07/09/2008
Last updated
02/07/2025
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