Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENT JAMES BLANKE, DO
ActiveDR. KENT JAMES BLANKE, DO is a Vascular Surgery healthcare provider located in KIRKSVILLE, Missouri. NPI 1841367380 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · KIRKSVILLE, MO
Registration Details
- NPI Number
- 1841367380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.73520228981 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
106501 (MO)5101010137 (MI)
Practice Information
- Address
-
1408 CROWN DRIVEKIRKSVILLE, MO, 63501Browse MO providers · Browse ZIP 63501
- Phone
- 6606651100
- Fax
- 6606653440
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.