SearchDelaware390200000X

Kirsten Blake

NPI 1811415409 · on the registry since 2017

Practice

Address
16755 Woodland Ct
Bridgeville, DE 19933
Phone
(302) 752-6100

Additional practice sites

  • 1501 Lakeside Dr, Lynchburg, VA

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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 Delaware