NPI 1013933589
Kenneth Blake, HIS
Practice location
- Address
- 39000 Bob Hope Drive Probst 315, Rancho Mirage, CA 92270-3221
- Phone
- (760) 625-6616
- Fax
- (442) 666-3766
Registered specialties (3)
Hearing Instrument Specialist
Primary
Chiropractor
Chiropractor
Registry record
- NPI
- 1013933589
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jul 2006
- Record last updated
- 4 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.