Blake Allen Lewis
Blake Allen Lewis is a Driver in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2023.
- Licensed in
- MO
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
402 W Jefferson StKirksville, MO 63501-3407
Phone: (660) 665-2741
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 2026022436 (MO) |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1598457384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | May 28, 2026 |
| Certification date | May 28, 2026 |
| Mailing address | 1416 Crown Dr, Kirksville, MO 63501-2548 |