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

Kimberly Thornton Blake, PA

Individual provider Physician Assistant · NPI 1295030195

Kimberly Thornton Blake, PA is a Physician Assistant in Sanford, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone: (800) 893-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105774 (FL)

Record details

NPI number1295030195
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 24, 2011
Last updated in NPPESJanuary 24, 2011

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