Individual
DR. DAVID S BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 SW 21ST ST, STE 200, TOPEKA, KS 66604-4415
(785) 272-5566
(785) 252-5967
Mailing address
4848 SW 21ST ST, STE 200, TOPEKA, KS 66604-4415
(785) 272-5566
(785) 272-5967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420864
KS
2084P0805X
Geriatric Psychiatry Physician
0420864
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100778
BLUE SHIELD OF KS
KS
Enumeration date
08/28/2006
Last updated
08/27/2016
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