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Dr. Kent James Blanke, DO
Vascular Surgery Physician in Kirksville, Missouri
NPI 1841367380

Kent James Blanke is a Vascular Surgery Physician based in Kirksville, MO and is specialized in Vascular Surgery. Kent James Blanke practices in Kirksville, MO and has the professional credentials of DO. The NPI Number for Kent James Blanke is 1841367380 and holds a License No. 106501 (Missouri).

The current practice location address for Kent James Blanke is 1408 Crown Drive, Kirksville, MO and can be reached out via phone at 660-665-1100 and via fax at 660-665-3440.

Location: 1408 Crown Drive, Kirksville, MO, 63501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841367380
Provider Name
Kent James Blanke
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1408 Crown Drive, Kirksville, MO, 63501
Phone Number
660-665-1100
Fax Number
660-665-3440
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1408 Crown Drive
City
Kirksville
State
Missouri
Zip
63501
Phone Number
660-665-1100
Fax Number
660-665-3440
person
Provider Business Mailing Address Details
Address
1408 Crown Drive
City
Kirksville
State
Missouri
Zip
63501
Phone Number
660-665-1100
Fax Number
660-665-3440
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
106501 (Missouri)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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