Brandon Robert Blalock
Brandon Robert Blalock is an Other Technician in Overland Park, Kansas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5799 Broadmoor StOverland Park, KS 66202-2427
Phone: (660) 202-7899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1093560104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | January 15, 2025 |
| Certification date | January 15, 2025 |
| Mailing address | 5799 Broadmoor St, Overland Park, KS 66202-2427 |
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