Search › Missouri › 122300000X
Blake Lewis
NPI 1598457384 · on the registry since 2023
Practice
- Address
- 402 W Jefferson St
Kirksville, MO 63501 - Phone
- (660) 665-2741
- Organisation at this address
- Northeast Missouri Health Council, Inc.
Northeast Missouri Health Council, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 172A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-28
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 Missouri