| Doctor Name: | MR. HENRY KEILER BLUHM |
| NPI Number: | 1104096429 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0110002717 |
| Business Practice Address: | 1005 Se Walton Blvd Bentonville, AR - 727126775 |
| Business Phone Number: | 4792546734 |
| Business Fax Number: | 4792546836 |
| Mailing Address: | 1005 Se Walton Blvd, BENTONVILLE |
| State: | AR |
| Postal Code: | 727126775 |
| Phone Number: | 4792546734 |
| Fax Number: | 4792546836 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 01/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110002717 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |