Corey, Kristen Blake

Corey, Kristen Blake is an individual health care provider with primary practice located at 10650 Park Rd , Charlotte NC 28210-8538. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Corey, Kristen Blake can be contacted via phone (704) 667-3960.

Contact Information

Primary practice address
10650 Park Rd Charlotte NC 28210-8538
Phone: (704) 667-3960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 2022-01463 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2022-01463 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 2022-01463 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2022-01463 North Carolina

Profile Details

NPI number 1588196968
LBN Legal business name Corey, Kristen Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Jul 15th, 2024 - about 2 months 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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