Individual
JAMES JOSEPH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32744
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64327488
—
KY
Enumeration date
06/22/2006
Last updated
06/15/2023
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