Individual
DR. KENT JAMES BLANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1408 CROWN DRIVE, KIRKSVILLE, MO 63501
(660) 665-1100
(660) 665-3440
Mailing address
PO BOX 7547, KIRKSVILLE, MO 63501
(660) 665-1100
(660) 665-3440
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
106501
MO
2086S0129X
Vascular Surgery Physician
5101010137
MI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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