-- ANNE M BLAKE -- MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1750655585- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 11550 GRANADA ST, LEAWOOD, KS, 662111453
- Phone
- (913) 451-7546
- Fax
- (913) 663-2411
Specialties & Taxonomies
Dermatology
License: IL #125.059721
Dermatology
License: OK #29145
Dermatology
Primary License: KS #04-37811