NPI 1689134876 · live from the CMS NPI Registry
Madison Blake, DO
Anesthesiology in Kansas City, KS. National Provider Identifier 1689134876, active.
NPI record
| NPI | 1689134876 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3901 Rainbow Blvd, Kansas City, KS 66160 |
| Practice phone | 913-588-5000 |
| Mailing address | 2016 W 50th St, Westwood Hills, KS 66205 |
| Enumerated | March 22, 2019 |
| Last updated | August 4, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 0548081 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.