Search › Massachusetts › 101YM0800X

Kellie Blake

NPI 1720912223 · on the registry since 2026

Practice

Address
20 Winter St
Pembroke, MA 02359
Phone
(781) 312-1393
Clinicians at this address
44

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts