Blake, Richard Alan

Blake, Richard Alan is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Suite A-300, Lexington KY 40504-3751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Blake, Richard Alan can be contacted via phone (859) 276-4429.

Contact Information

Primary practice address
1401 Harrodsburg Rd Suite A-300 Lexington KY 40504-3751
Phone: (859) 276-4429
Fax: (859) 276-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29029 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 29029 Kentucky

Profile Details

NPI number 1699702308
LBN Legal business name Blake, Richard Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 6th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699702308 NPPES
Kentucky Other 4000501 MEDICARE LAB GROUP
Kentucky Other CB5773 MEDICARE LAB GROUP
Kentucky MEDICAID 64290299 MEDICARE LAB GROUP
Kentucky Other 36000818 MEDICARE LAB GROUP
Kentucky Other ASC1019 MEDICARE LAB GROUP
Kentucky Other 06003363 MEDICARE LAB GROUP
Kentucky Other 37903705 MEDICARE LAB GROUP

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