NPI
Blake Carroll
NPI 1225836497
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2025-03-04
- Last updated
- 2025-03-04
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 5114 W 87th St S
- City
- Haysville KS
- Postal code
- 67060-7335
- Phone
- (970) 310-6540
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Haysville, KS. 101 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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