Blakey, Ieshia Miya

Blakey, Ieshia Miya is an individual health care provider with primary practice located at 1000 Neighborhood Pl , Fairdale KY 40118-9697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blakey, Ieshia Miya can be contacted via phone (502) 361-2381.

Contact Information

Primary practice address
1000 Neighborhood Pl Fairdale KY 40118-9697
Fax: (502) 996-8309
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005388 Kentucky

Profile Details

NPI number 1467636589
LBN Legal business name Blakey, Ieshia Miya
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Jun 16th, 2018 - about 7 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 1467636589 NPPES
Kentucky MEDICAID 7100263420

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