Kori Blake
Physician Assistant · Glen Dale, WV
UnclaimedNPI 1790553576
- Primary taxonomy
- 363A00000X
- Enumerated
- 2023-12-12
- Practice location
- Glen Dale, WV
- Last NPPES update
- 2023-12-12
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.