Blakely, David S

Blakely, David S is an individual health care provider with primary practice located at 4848 Sw 21St St Ste 200, Topeka KS 66604-4415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Blakely, David S can be contacted via phone (785) 272-5566.

Contact Information

Primary practice address
4848 Sw 21St St Ste 200 Topeka KS 66604-4415
Phone: (785) 272-5566
Fax: (785) 252-5967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0420864 Kansas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0420864 Kansas

Profile Details

NPI number 1518075621
LBN Legal business name Blakely, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Aug 27th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518075621 NPPES
Kansas Other 100778 BLUE SHIELD OF KS

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