KENT J BLANKE DO PC
Radiology at Crown Dr, Kirksville, MO

License number
Missouri 106501
Category
Radiology
Type
Vascular Surgery
License number
Missouri 5101010137
Category
Radiology
Type
Vascular Surgery
Owner
Name: DR. KENT JAMES BLANKE
Title: PRESIDENT
Phone: (660) 665-1100
Address
Address
1408 Crown Dr, Kirksville, MO 63501
National Provider ID: 1548337090
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENT J. BLANKE, D.O., PC

Kirksville, MO

Industry:
Osteopathic Physician's Office
Doing business as:
Kent J Blanke DO
Registration:
Jul 19, 1994
Phone:
(660) 665-1100 (Phone)
Addresses:
1408 Crown Dr, Kirksville, MO 63501 (Physical)
PO Box 7547, Kirksville, MO 63501 (Physical)
State ID:
P00398751
Business type:
Professional Corporation
Expiration:
Perpetual
Receptionist Secretarys:
Kent Blanke (Osteopathy, President, Thoracic Surgeon),Lynn Blanke (Office Manager),Lisa Tarr (Receptionist Secretary)
Agent:
Kent J. Blanke,PO Box 7547, Kirksville, MO 63501 (Physical)
Categories:
Cardiology Physicians & Surgeons, General Surgeons, Osteopathic Physicians & Surgeons, ...
Specialties:
Thoracic, Vascular
Products:
Cardiovascular Surgeon, Thoracic, Vascular, ...
Additional:
Vascular / Thoracic, Cardiovascular Surgeon

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