Individual
KRISTA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
6675 HOLMES RD, SUITE 400, KANSAS CITY, MO 64131-1150
(816) 276-7410
(816) 276-7415
Mailing address
6675 HOLMES RD, SUITE 400, KANSAS CITY, MO 64131-1150
(816) 276-7410
(816) 276-7415
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2012006732
MO
363AS0400X
Surgical Physician Assistant
PA00096
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08300063
—
MS
Enumeration date
01/23/2007
Last updated
05/12/2014
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