Individual
RYANN BLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
1248 SE WARREN DR, LEES SUMMIT, MO 64081-2144
(267) 625-7397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2024007929
MO
363LF0000X
Family Nurse Practitioner
Primary
2024007929
MO
Other
Enumeration date
07/05/2024
Last updated
09/15/2025
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