NPI 1073611497 KATHLEEN ANN BLOOM D.C. BURNSVILLE MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kathleen Ann Bloom - NPI: 1073611497

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KATHLEEN ANN BLOOM
NPI Number: 1073611497
Entity Type Code: Individual (1)
Gender: F
Credentials: D.C.
License Number: 2077
Business Practice Address: 1501 Riverwood Dr
Suite 160 Burnsville, MN - 553371559
Business Phone Number: 9528946300
Business Fax Number: 9528942601
Mailing Address: 1501 Riverwood Dr, Suite 160
BURNSVILLE
State: MN
Postal Code: 553371559
Phone Number: 9528946300
Fax Number: 9528942601
NPI Enumeration Date: 09/20/2006
NPI Last Update Date: 09/16/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 2077
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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