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Individual

KEVIN BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2919 NEWPORT RD, SAINT JOSEPH, MO 64505-1881
(417) 629-8955
Mailing address
2919 NEWPORT RD, SAINT JOSEPH, MO 64505-1881
(417) 629-8955

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/06/2013
Last updated
08/06/2026
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