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Search › Kansas › 363L00000X

Jessica Blake

NPI 1477955755 · on the registry since 2014

Practice

Address
15101 Glenwood Ave
Stanley, KS 66223
Phone
(913) 681-8866
Organisation at this address
Overland Park Surgical Specialties, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-25

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 Kansas