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Search › Kansas › 363A00000X

Blake Gustafson, PA

NPI 1326800574 · on the registry since 2024

Practice

Address
4000 Cambridge St
Kansas City, KS 66160
Phone
(913) 588-1227
Organisation at this address
Jayhawk Primary Care Inc
Kansas University Physicians Inc
Kansas University Physicians Inc
Kansas University Physicians Inc
Kansas University Physicians Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
695

Additional practice sites

  • 616 Marriott Dr, Nashville, TN
  • 20333 W 151st St, Olathe, KS

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas