Kacey Blaylock, O.D

NPI 1164871489 · on the registry since 2016

Practice

Address: 360 E Mallard Dr Ste 110
Boise, ID 83706
Phone: (208) 336-8700
Fax: (208) 426-0902
Organisation at this address: Aam Anesthesia Llc
Lasercare Center Of Idaho
Hollingshead Eye Center, Pc
Steven J Berg Anesthesia Pllc
Surgicare Center Of Idaho, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho