Blakley, Kevin
Blakley, Kevin is an individual health care provider with primary practice located at 5955 Zeamer Ave , Elmendorf Afb AK 99506-3702. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Blakley, Kevin can be contacted via phone (907) 580-3114.Contact Information
Primary practice address
5955 Zeamer Ave
Elmendorf Afb AK 99506-3702
Phone: (907) 580-3114
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1742 | Arizona |
Profile Details
NPI number | 1295794147 |
---|---|
LBN Legal business name | Blakley, Kevin |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Feb 11th, 2009 - about 16 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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