Blinnikova, Ksenia Nikolayevna

Blinnikova, Ksenia Nikolayevna is an individual health care provider with primary practice located at 50 Staniford St Fl 9 , Boston MA 02114-2506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Blinnikova, Ksenia Nikolayevna can be contacted via phone (612) 724-6610.

Contact Information

Primary practice address
50 Staniford St Fl 9 Boston MA 02114-2506
Phone: (612) 724-6610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 37486 Alabama
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 1013709 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1013709 Massachusetts

Profile Details

NPI number 1740646181
LBN Legal business name Blinnikova, Ksenia Nikolayevna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated Aug 1st, 2023 - about last year

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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