Individual
DR. MATTHEW DANIEL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1210 KY HIGHWAY 36 E UNIT 1, CYNTHIANA, KY 41031-7498
(859) 234-2300
(859) 235-3699
Mailing address
1210 KY HIGHWAY 36 E UNIT 1, CYNTHIANA, KY 41031-7498
(859) 234-2300
(859) 235-3699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05539
KY
Other
Enumeration date
03/30/2020
Last updated
06/23/2023
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