Individual
SAMANTHA LYNN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 E MAIN ST, ADRIAN, MO 64720-8201
(816) 372-2948
Mailing address
7000B NW STATE ROUTE 18, ADRIAN, MO 64720-4807
(816) 267-8283
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20564
MO
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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