Organization
KEARNEY ARTHRITIS INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT W BLAKELY MD (OWNER)
(308) 234-9615
Entity
Organization
Contact information
Practice address
22 W 56TH ST STE 107, KEARNEY, NE 68847-0508
(308) 234-9615
(308) 234-9614
Mailing address
109 E 52ND ST, STUITE 2, KEARNEY, NE 68847-0502
(308) 234-9615
(308) 234-9614
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
19423
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253310-00
—
NE
Enumeration date
07/24/2007
Last updated
08/03/2007
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