| Blaqout, Inc. | |
|
517 Campbell St Kansas City MO 64106-1213 | |
| (816) 866-0355 | |
| Not Available |
| Full Name | Blaqout, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 517 Campbell St, Kansas City, Missouri |
| Authorized Official Name and Position | D. Rashaan Gilmore (FOUNDER/CEO) |
| Authorized Official Contact | 8168660355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaqout, Inc. 517 Campbell St Kansas City MO 64106-1213 Ph: (816) 866-0355 | Blaqout, Inc. 517 Campbell St Kansas City MO 64106-1213 Ph: (816) 866-0355 |
| NPI Number | 1750072849 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750072849 | NPI | - | NPPES |
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