Individual
BLAKE C VEENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204
Mailing address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-24463
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145000B
—
KS
01
—
P00230276
RR MEDICARE
—
Enumeration date
08/19/2006
Last updated
07/10/2024
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