Individual
BLAKE OVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Mailing address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009013598
MO
Other
Enumeration date
06/11/2009
Last updated
11/14/2011
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