Individual
DR. ELIZABETH LOUISE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3611 MAIN ST, SUITE 103, KANSAS CITY, MO 64111-1932
(816) 561-7035
(816) 960-3890
Mailing address
3611 MAIN ST, SUITE 103, KANSAS CITY, MO 64111-1932
(816) 561-7035
(816) 960-3890
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2005000397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1196322
AETNA HMO
MO
01
—
277729
COVENTRY
MO
01
—
36591032
BLUE CROSS BLUE SHIELD
MO
01
—
694678
ACN
MO
01
—
7854791
AETNA PPO
MO
Enumeration date
12/13/2006
Last updated
08/19/2011
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