Individual
MICHAEL D BLAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 ANCIENT SPRING DR, LOUISVILLE, KY 40245-1803
(502) 290-5248
Mailing address
12021 ANCIENT SPRING DR, LOUISVILLE, KY 40245-1803
(502) 290-5248
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
45-1495659
KY
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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