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Matthew Blake
NPI 1811530017 · on the registry since 2019
Practice
- Address
- 804 S Broadway St Ste 1
Georgetown, KY 40324 - Phone
- (502) 642-4800
- Fax
- (513) 332-9072
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-21
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 Kentucky