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Blair Thedinger

NPI 1750606042 · on the registry since 2010 · sole proprietor

Practice

Address
3515 Broadway St
Kansas City, MO 64111
Phone
(816) 753-5144
Fax
(816) 756-1081
Organisation at this address
Kansas City Care Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-10

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