| Doctor Name: | DR. KRIS M BLY |
| NPI Number: | 1497700223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | OS10451 |
| Business Practice Address: | 3420 Duck Ave Key West, FL - 330404427 |
| Business Phone Number: | 3052965358 |
| Business Fax Number: | |
| Mailing Address: | 1614 South St, KEY WEST |
| State: | FL |
| Postal Code: | 330403515 |
| Phone Number: | 3057353920 |
| Fax Number: | 3053288304 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 01/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS10451 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |