person
Timothy L Blackburn, MD
Cardiovascular Disease Physician in Belton, Missouri
NPI 1558325605

Timothy L Blackburn is a Cardiovascular Disease Physician based in Kansas City, MO and is specialized in Cardiovascular Disease. Timothy L Blackburn practices in Belton, MO and has the professional credentials of MD. The NPI Number for Timothy L Blackburn is 1558325605 and holds a License No. R2P33 (Missouri).

The current practice location address for Timothy L Blackburn is 17067 S Outer Rd, Belton, MO and can be reached out via phone at 816-348-4281 and via fax at 816-348-4271.

Location: 17067 S Outer Rd, Belton, MO, 64132-1136
person
Provider Profile Details
NPI Number
1558325605
Provider Name
Timothy L Blackburn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17067 S Outer Rd, Belton, MO, 64132-1136
Phone Number
816-348-4281
Fax Number
816-348-4271
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060066709 01 MO RAILROAD MEDICARE
1558325605 05 MO
17891028 01 MO BCBS-KC
institution
Provider Business Practice Location Address Details
Address
17067 S Outer Rd
City
State
Zip
64012-2165
Phone Number
816-348-4281
Fax Number
816-348-4271
person
Provider Business Mailing Address Details
Address
17067 S Outer Rd
City
State
Zip
64012-2165
Phone Number
816-348-4281
Fax Number
816-348-4271
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
R2P33 (Missouri)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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