NPI 1093560104

Brandon Robert Blalock

Practitioner Other Technician Overland Park, KS

Practice location

Address: 5799 Broadmoor St, Overland Park, KS 66202-2427
Phone: (660) 202-7899

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Kansas →

Registry record

NPI: 1093560104
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2024
Record last updated: 15 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.