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

MS. Kenneth Leon Blake Jr., BS

Individual provider Case Manager/Care Coordinator · NPI 1093678864

MS. Kenneth Leon Blake Jr., BS is a Case Manager/Care Coordinator in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-7797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (FL)

Record details

NPI number1093678864
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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