Jon Kevin Blake MD
Jon Kevin Blake MD is a General Practice Physician in Gas City, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
925 E Main StGas City, IN 46933-1550
Phone: (765) 674-7889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1215559331 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Blake — Authorized Official/Physician · (765) 674-7889 |
| Other names | Jon K. Blake Md |
| NPI enumerated | May 12, 2020 |
| Last updated in NPPES | May 12, 2020 |
| Certification date | May 12, 2020 |
| Mailing address | Po Box 1889, Muncie, IN 47308-1889 |