W KENNY BLAKE MD LLC – Family Medicine Physician, NPI 1093011314

W KENNY BLAKE MD LLC is a healthcare provider. based in Monticello, Georgia. specializing in Family Medicine Physician. The NPI Number for W KENNY BLAKE MD LLC is 1093011314

Main info

Organization
Name
W KENNY BLAKE MD LLC
NPI
1093011314
Phone
(706) 468-7002
Address
545 VENTURE COURT
Authorized Official
WYATT K BLAKE OWNER MD
Enumeration Date
3 February 2011
Last Update Date
4 February 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for W KENNY BLAKE MD LLC

  • 545 VENTURE COURT

    MONTICELLO, GA 31064

    Phone: (706) 468-7002

    Fax: (706) 468-7020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31064)

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Reviews

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Frequently asked questions

What NPI should I save for W KENNY BLAKE MD LLC?
Save NPI 1093011314 if you need a stable reference for W KENNY BLAKE MD LLC.
Is W KENNY BLAKE MD LLC currently active in the NPI registry?
CMS-published data lists W KENNY BLAKE MD LLC as an active registrant.
Can you summarize W KENNY BLAKE MD LLC's specialty in plain language?
Clinically, the directory lists W KENNY BLAKE MD LLC with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place W KENNY BLAKE MD LLC?
The snapshot lists Monticello, Georgia for W KENNY BLAKE MD LLC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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