Individual
KAYLA JEAN BLAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 557-2400
(573) 557-2401
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8399
(573) 348-8309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019036877
MO
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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