Individual
WILLIAM K BLAYLOCK
Active
Individual
WILLIAM K BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
0101044962
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063-3042-8
—
VA
01
—
099122
ANTHEM BCBS
VA
01
—
240001577
RR MEDICARE
VA
01
—
54-1546268
TAX ID
VA
Enumeration date
05/10/2006
Last updated
11/06/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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