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NPI Code Detail

MEDICARE: DR. LLOYD BERNARD BLEDSOE M.D.

MEDICARE: DR. LLOYD BERNARD BLEDSOE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician04-29289KS

General Provider Information

NPI Number : 1225384001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LLOYD BERNARD BLEDSOE M.D.
Provider Business Mailing Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-861-4700
Fax Number :
Provider Business Practice Location Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-861-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2012
Last Update Date : 08/26/2021

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