Individual
MR. BLAISE D. KRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4525 DOWNS DR, SAINT JOSEPH, MO 64507-2246
(816) 271-4597
Mailing address
4525 DOWNS DR, SAINT JOSEPH, MO 64507-2246
(816) 271-4597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013013299
MO
Other
Enumeration date
01/13/2013
Last updated
09/30/2013
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