Blum, Kimberly Michelle
Blum, Kimberly Michelle is an individual health care provider with primary practice located at 2315 W Ben White Blvd , Austin TX 78704-7524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blum, Kimberly Michelle can be contacted via phone (512) 326-5440.Contact Information
Primary practice address
2315 W Ben White Blvd
Austin TX 78704-7524
Phone: (512) 326-5440
Fax: (512) 326-8660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | AP126079 | Texas |
Profile Details
NPI number | 1376952457 |
---|---|
LBN Legal business name | Blum, Kimberly Michelle |
Credentials | APRN, AGCNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2014 |
Last updated | Mar 15th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376952457 | NPPES |
Texas | MEDICAID | 339976801 |
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