Healthcare Provider Details

I. General information

NPI: 1932308350
Provider Name (Legal Business Name): BLAKELY D KUTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 S FLOYD ST STE 200
LOUISVILLE KY
40202-1840
US

IV. Provider business mailing address

PO BOX 776347
CHICAGO IL
60677-6347
US

V. Phone/Fax

Practice location:
  • Phone: 502-629-4440
  • Fax: 502-629-4445
Mailing address:
  • Phone: 502-272-5052
  • Fax: 502-629-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number311116
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number43570
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number43570
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: