Search › Missouri › 133V00000X
Kelley Blasa, RD, LDN
NPI 1700055100 · on the registry since 2008
Practice
- Address
- 11197 W Lakeshore Dr
Hannibal, MO 63401 - Phone
- (573) 221-1354
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-29
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