MR. HENRY KEILER BLUHM PA-C NPI 1104096429

NPI Information

  • NPI: 1104096429
  • Provider Name: MR. HENRY KEILER BLUHM, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 304A E 4TH ST
    ELDON, MO
    ZIP 65026
  • Phone: (573) 557-2400

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NPI Details

MR. Henry Keiler Bluhm, PA-C is a medical physician assistant in Eldon, MO with 19 years of experience. MR. Henry Keiler Bluhm, PA-C NPI is 1104096429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

304A E 4TH ST
ELDON, MO
ZIP 65026
Phone: (573) 557-2400
Fax: (573) 557-2401

The NPI 1104096429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 8/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA-461ARKANSASNo
2363AM0700XPhysician AssistantMedical0110002717VIRGINIANo
3363AM0700XPhysician AssistantMedical2011035886MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12011035886OTHERMISSOURISTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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