THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
24/06/25 04:02:41 AM

General Information

Former Name: No Former Name
Medical School: Northern Ontario School of Medicine, 2010
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 649 Astorville Rd
Astorville ON P0H 1B0
Business Email: No Information Available
Phone: 705-752-5521
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 06 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 06 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
North Bay Regional Health Centre North Bay
HOSPITAL: North Bay Regional Health Centre
LOCATION: North Bay

Professional Corporation Information

Corporation Name: Kevin Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Dec 2016
Shareholders:
Dr. K. Blake (CPSO#: 93257 )
Business Address: North Bay Regional Health Centre
50 College Drive
North Bay Ontario P1B 5A4 (705) 474-8600
Business Address: Northern Shores Medical Clinic
10 Maplewood Avenue
North Bay Ontario P1B 5H2 (705) 478-0968

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Northern Ontario School of Medicine, 2010

Practice Information

Primary Business Location: 649 Astorville Rd
Astorville ON P0H 1B0
Business Email: No Information Available
Phone: 705-752-5521
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 06 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 06 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
North Bay Regional Health Centre North Bay
HOSPITAL: North Bay Regional Health Centre
LOCATION: North Bay

Professional Corporation Information

Corporation Name: Kevin Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Dec 2016
Shareholders:
Dr. K. Blake (CPSO#: 93257 )
Business Address: North Bay Regional Health Centre
50 College Drive
North Bay Ontario P1B 5A4 (705) 474-8600
Business Address: Northern Shores Medical Clinic
10 Maplewood Avenue
North Bay Ontario P1B 5H2 (705) 478-0968

Practice Conditions

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(1) Dr. KEVIN ANDREW BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KEVIN ANDREW BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Northern Ontario School of Medicine, 2010

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 16 Jun 2016
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2010
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 16 Jun 2016
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2010