Individual
BLAINE MITSUYUKI OKINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MAIN ST STE 300, KANSAS CITY, MO 64105-2008
(808) 322-4400
Mailing address
920 MAIN ST STE 300, KANSAS CITY, MO 64105-2008
(808) 322-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15229
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.011806
TRAINING CERTIFICATE
OH
Enumeration date
09/23/2007
Last updated
10/01/2015
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