Bloom, Kathaleen C

Bloom, Kathaleen C is an individual health care provider with primary practice located at 41 E Duval St Volunteers In Medicine, Jacksonville FL 32202-3201. 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. Bloom, Kathaleen C can be contacted via phone (904) 399-2766.

Contact Information

Primary practice address
41 E Duval St Volunteers In Medicine Jacksonville FL 32202-3201
Phone: (904) 399-2766
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP513832 Florida

Profile Details

NPI number 1922196161
LBN Legal business name Bloom, Kathaleen C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 1st, 2013 - about 12 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 1922196161 NPPES
Florida MEDICAID 305057200

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