Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaqout, Inc

Organization Adult Medicine Physician · NPI 1750072849

Blaqout, Inc is an Adult Medicine Physician in Kansas City, Missouri. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

517 Campbell St
Kansas City, MO 64106-1213
Phone: (816) 866-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 Main St, Kansas City, MO 64111-1908 — (816) 866-0355

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Adult Medicine Physician Taxonomy 207QA0505X
Clinic/Center Taxonomy 261Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1750072849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official D. Gilmore — Founder/Ceo · (816) 866-0355
Other names Blaqout, Inc.
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 17, 2023
Mailing address517 Campbell St, Kansas City, MO 64106-1213

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