Kelley Blake

NURSE PRACTITIONER

3332 W Main St

Suite 2

Dothan, AL 363051019

(334) 246-2577

**NPI:** 1770737249

**Med School:** OTHER

**Experience:** 17 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

BANDW MEDICAL SOLUTIONS LLC

3332 W Main St, Suite 2
Dothan, AL 363051019

Phone: (334) 246-2577

**Group ID:** 5294121935 | **Group Size:** 2 members

UPMC PINNACLE HOSPITALS Type: Hospital
409 SOUTH SECOND STREET
Phone: (717) 782-3131
Medicare CCN: 390067 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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