Organization · Type 2 NPI
Blaqout, Inc.
Community Health Clinic/Center · Kansas City, MO
NPI number
1750072849
Active
Practice location
517 Campbell St
Kansas City, MO 64106-1213
Other practice locations
- 3601 Main St, Kansas City, MO 64111-1908 · (816) 866-0355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician | 207QA0505X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Community Health Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1750072849
Blaqout, Inc.'s National Provider Identifier is 1750072849, issued on May 18, 2023. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Kansas City, MO. The record was last updated on May 18, 2023.