Individual
TREVOR BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 WINCHESTER AVE STE 230, KANSAS CITY, MO 64133
(816) 313-2677
Mailing address
6601 WINCHESTER AVE STE 230, KANSAS CITY, MO 64133-4681
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2018010585
MO
2085R0203X
Therapeutic Radiology Physician
54508
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
08/08/2018
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