Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake James Kissane, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104613363

Blake James Kissane, DO is a Student in an Organized Health Care Education/Training Program in Corpus Christi, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone: (361) 881-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104613363
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address600 Elizabeth St, Corpus Christi, TX 78404-2235

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