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
Fax: (512) 326-8660
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376952457 NPPES
Texas MEDICAID 339976801

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