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Individual

DR. KORY DANE BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3500
(573) 629-3370
Mailing address
PO BOX 1259, HANNIBAL, MO 63401-1259
(573) 629-3500
(573) 629-3370

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125.068544
IL
207X00000X
Orthopaedic Surgery Physician
Primary
2025020901
MO

Other

Enumeration date
05/31/2016
Last updated
07/08/2025
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