STEPHEN DAVID BLAKE MD
Individual Provider (NPI-1)
Active
Pediatrics
Provider Information
- NPI Number
1538111588- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2400 GREATSTONE PT FL 2, LEXINGTON, KY, 405043274
- Phone
- (859) 323-6211
- Fax
- (859) 257-7706
Specialties & Taxonomies
Pediatrics
Primary License: KY #37617
Pediatrics, Developmental - Behavioral Pediatrics
License: SC #26859
Pediatrics
License: SC #26859
All Addresses
MAILING
2400 GREATSTONE PT FL 2
LEXINGTON, KY, 405043274