Search › California › 237700000X
Kenneth Blake, H.I.S
NPI 1013933589 · on the registry since 2006 · sole proprietor
Practice
- Address
- 39000 Bob Hope Drive Probst 315
Rancho Mirage, CA 92270 - Phone
- (760) 625-6616
- Fax
- (442) 666-3766
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 111N00000X
111N00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California