WILLIAM BLAKE

BARDSTOWN, KY
NPI1093683385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  4047867)
Enumeration Date2025-10-28
Last Update Date2025-10-28
Business Address
WILLIAM BLAKE PMHNP-BC
110 E OBRYAN AVE
BARDSTOWN, KY 40004-1636
Phone number: 502-890-9232
Mailing Address
WILLIAM BLAKE PMHNP-BC
7816 HEPATICA DR
LOUISVILLE, KY 40258-2272
Phone number: 502-225-3299
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