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

MS. Kelley E Blake, CRNP

Individual provider Family Nurse Practitioner · NPI 1770737249

MS. Kelley E Blake, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2008, 18 years ago. Practices with Bandw Medical Solutions LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
18
Licensed in
AL
In the registry since
2008
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3332 W Main St Ste 2
Dothan, AL 36305-1019
Phone: (334) 246-2577
Fax: (949) 561-5764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-150592 (AL)

Record details

NPI number1770737249
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 11, 2008
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address3332 W Main St Ste 2, Dothan, AL 36305-1019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bandw Medical Solutions Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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