JOHNATHON BLAKE

KANSAS CITY, MO
NPI1487040002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2019034662)
Enumeration Date2015-04-09
Last Update Date2023-08-17
Business Address
Dr. JOHNATHON BLAKE M.D., M.H.S.A.
2340 E MEYER BLVD STE 346
KANSAS CITY, MO 64132-1129
Phone number: 816-444-1777
Mailing Address
Dr. JOHNATHON BLAKE M.D., M.H.S.A.
2340 E MEYER BLVD STE 346
KANSAS CITY, MO 64132-1129
Phone number: 816-444-1777
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