Blake, Kimberly Thornton

Blake, Kimberly Thornton is an individual health care provider with primary practice located at 1401 W Seminole Blvd , Sanford FL 32771-6743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blake, Kimberly Thornton can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
1401 W Seminole Blvd Sanford FL 32771-6743
Phone: (800) 893-9698
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105774 Florida

Profile Details

NPI number 1295030195
LBN Legal business name Blake, Kimberly Thornton
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2011
Last updated Jan 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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