W Kenny Blake MD LLC
NPI 1093011314 · Family Medicine Physician · Monticello, GA
W Kenny Blake MD LLC is a Family Medicine Physician organization in Monticello, GA (NPI 1093011314).
Provider details
- NPI number
- 1093011314
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wyatt Blake, Owner(706) 468-7002
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-03
- Last updated
- 2011-02-04
Frequently asked questions
- What is W Kenny Blake MD LLC's NPI number?
- W Kenny Blake MD LLC's National Provider Identifier (NPI) is 1093011314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is W Kenny Blake MD LLC?
- W Kenny Blake MD LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is W Kenny Blake MD LLC located?
- W Kenny Blake MD LLC's practice location on file with NPPES is 545 Venture Court, Monticello, GA 31064.
- What is W Kenny Blake MD LLC's phone number?
- The practice phone number listed in the NPPES registry for W Kenny Blake MD LLC is (706) 468-7002.
- Who is the authorized official for W Kenny Blake MD LLC?
- The authorized official listed on W Kenny Blake MD LLC's NPPES record is Wyatt Blake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is W Kenny Blake MD LLC's NPI active?
- Yes — W Kenny Blake MD LLC's NPI (1093011314) is active in the NPPES registry as of the last update on 2011-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.