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

Mrs. Kelly Ann Blake, PA-C

Individual provider Physician Assistant · NPI 1942487673

Mrs. Kelly Ann Blake, PA-C is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2007, 19 years ago. Practices with American Telehealth LLC, a 43-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

410 N Krocks Rd
Allentown, PA 18106-9283
Phone: (888) 982-8594
Fax: (888) 982-8594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2004 Shipley Rd, Wilmington, DE 19803-5248 — (888) 982-8594
  • 1000 Crawford Pl Ste 240, Mount Laurel, NJ 08054-3965 — (888) 982-8594
  • 150 Sunnyside Blvd, Plainview, NY 11803-1504 — (888) 982-8594

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0003708 (MD)

Record details

NPI number1942487673
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2008
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice American Telehealth Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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