Individual
BLAINE KENDELL BUSHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
915 S BALTIMORE ST, KIRKSVILLE, MO 63501-4027
(660) 956-9156
(660) 956-9151
Mailing address
915 S BALTIMORE ST, KIRKSVILLE, MO 63501-4027
(660) 956-9156
(660) 956-9151
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2023031557
MO
Other
Enumeration date
08/09/2023
Last updated
08/15/2023
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