NPIMap

Organization Active NPI

Kris M Bly Medical Services P.a.

  • Emergency Medicine Physician
  • Key West, FL
National Provider Identifier
1871885202
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS10451 Issued in FL
Legal business name
KRIS M BLY MEDICAL SERVICES P.A.
Practice address
3420 Duck Ave
Key West, FL 33040-4427
Phone
(305) 296-5358
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kris Marie Bly, D.O.
Title
Medical Director
Phone
(305) 509-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X OS10451 FL Primary

Addresses

Primary practice location

3420 Duck Ave
Key West, FL 33040-4427

Mailing address

13 Evergreen Ave
Key West, FL 33040-6244
Phone (305) 735-3920

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1871885202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EVERGREEN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406244",
            "telephone_number": "305-735-3920",
            "fax_number": "305-328-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 DUCK AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404427",
            "telephone_number": "305-296-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS M BLY MEDICAL SERVICES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BLY",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-509-1447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.