-- BRIDGETTE C BLAIN -- P.A. - C.
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1790717122- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A. - C.
- Status
- Active
Contact & Location
- Address
- 20333 W 151ST ST, OLATHE, KS, 660615350
- Phone
- (913) 791-4357
- Fax
- (913) 791-4435
Specialties & Taxonomies
Physician Assistant
Primary License: KS #1501057