NPI 1508214669 · live from the CMS NPI Registry
Kory Dane Blank, M.D
Orthopaedic Surgery in Hannibal, MO. National Provider Identifier 1508214669, active.
NPI record
| NPI | 1508214669 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 6500 Hospital Dr, Hannibal, MO 63401 |
| Practice phone | 573-629-3500 |
| Mailing address | Po Box 1259, Hannibal, MO 63401 |
| Enumerated | May 31, 2016 |
| Last updated | July 8, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 125.068544 (IL) |
| Orthopaedic Surgery primary | 207X00000X | 2025020901 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.