KAYLA JEAN BLAES FNP NPI 1679114722

NPI Information

  • NPI: 1679114722
  • Provider Name: KAYLA JEAN BLAES, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • 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

Kayla Jean Blaes, FNP is a family nurse practitioner in Eldon, MO. Kayla Jean Blaes, FNP NPI is 1679114722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

304A E 4TH ST
ELDON, MO
ZIP 65026-808
Phone: (573) 557-2400
Fax: (573) 557-2401

The NPI 1679114722 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 9/30/2019 and was last updated on 9/30/2019.

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
1363LF0000XNurse PractitionerFamily2019036877MISSOURIYes

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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