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JIM D BLUNK DO

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1962402537
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
415 S OSAGE ST, CALDWELL, KS, 670221650
Phone
(620) 845-2516
Fax
(620) 845-2518

Specialties & Taxonomies

Family Medicine License: OK #2082
Family Medicine Primary License: KS #05-19457

All Addresses

MAILING

5300 N INDEPENDENCE AVE 280

OKLAHOMA CITY, OK, 731125556

(620) 845-2516

LOCATION

415 S OSAGE ST

CALDWELL, KS, 670221650

(620) 845-2516