Individual
BLAKE VINCENT CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
330 ARKANSAS ST, SUITE 202, LAWRENCE, KS 66044-1335
(785) 505-2200
(785) 505-5237
Mailing address
330 ARKANSAS ST, SUITE 202, LAWRENCE, KS 66044-1335
(785) 505-2200
(785) 505-5237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0538349
KS
Other
Enumeration date
06/16/2009
Last updated
12/01/2020
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