Individual
CALEY ELIZABETH BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 202, LOUISVILLE, KY 40241-2861
(502) 891-8300
(502) 394-6525
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2847
KY
363A00000X
Physician Assistant
Primary
TC135
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/28/2021
Last updated
01/22/2026
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