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

Individual provider Physician Assistant · NPI 1962981084

Sal Blake, PA-C is a Physician Assistant in Owensboro, Kentucky. Qualified in 2018, 8 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
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

2211 Mayfair Dr Ste 102
Owensboro, KY 42301
Phone: (270) 688-1351
Fax: (270) 683-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Unifirst Dr, Owensboro, KY 42301-7701 — (270) 713-0478

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC733 (KY)

Record details

NPI number1962981084
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESMay 14, 2019
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Owensboro