Blasingame, Kimberly Patton

Blasingame, Kimberly Patton is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Blasingame, Kimberly Patton can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN093785 Georgia

Profile Details

NPI number 1184662280
LBN Legal business name Blasingame, Kimberly Patton
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184662280 NPPES
Georgia MEDICAID 000773649J
Georgia MEDICAID 000773649F
Georgia MEDICAID 000773649K
Georgia Other 329086
Georgia Other 10044863

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