Individual
MR. DAVID LYNN BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2714 2ND AVE STE A, KEARNEY, NE 68847-4437
(308) 236-7016
(308) 236-7027
Mailing address
2715 EVERGREEN RD, KEARNEY, NE 68845-0357
(308) 293-3848
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
763
NE
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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