Individual
MR. AMIT BLUMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 983-6905
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 983-6905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200148629
—
MO
01
—
2500101170
BNDD
MO
Enumeration date
07/10/2024
Last updated
05/21/2025
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