Blacklock, Audrey Deanne
Blacklock, Audrey Deanne is an individual health care provider with primary practice located at 2790 Clay Edwards Dr Ste 1240 , N Kansas City MO 64116-3253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Blacklock, Audrey Deanne can be contacted via phone (816) 842-2015.Contact Information
Primary practice address
2790 Clay Edwards Dr Ste 1240
N Kansas City MO 64116-3253
Phone: (816) 842-2015
Fax: (816) 221-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 04-34305 | Kansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2012008166 | Missouri |
Profile Details
| NPI number | 1912199159 |
|---|---|
| LBN Legal business name | Blacklock, Audrey Deanne |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Oct 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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