Bloom, Karen K.

Bloom, Karen K. is an sole proprietor health care provider with primary practice located at 18 River Hill Rd , Louisville KY 40207-1193. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bloom, Karen K. can be contacted via phone (502) 645-1043.

Contact Information

Primary practice address
18 River Hill Rd Louisville KY 40207-1193
Phone: (502) 645-1043
Fax: (815) 550-2223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 26931 Kentucky
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01037987A Indiana

Profile Details

NPI number 1093788028
LBN Legal business name Bloom, Karen K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jun 27th, 2012 - about 13 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 1093788028 NPPES
Kentucky MEDICAID 64269319
Kentucky Other 000000048653
Kentucky MEDICAID 100028010

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