Bloomfield Medical Clinic, Pc

NPI 1003091497 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003091497
Enumeration Date 01/03/2008
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN D KEVIN
Position PRESIDENT
Phone (402) 373-4341
Fax (402) 373-4344
Practice Location
105 S BROADWAY AVENUE
BLOOMFIELD NE, 68718-0357, US
Phone (402) 373-4341
Fax (402) 373-4344
Business Location
105 S BROADWAY AVENUE
P O BOX 357
BLOOMFIELD NE, 68718-0357, US
Phone (402) 373-4341
Fax (402) 373-4344
Toxanomy
Taxonomy Code 363LF0000X
License State Nebraska
License Number 110153
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According to our database, Bloomfield Medical Clinic, Pc NPI is 1003091497, taxonomy code is 363LF0000X and license number is 110153, license state is located at Nebraska. Bloomfield Medical Clinic, Pc physically located at 105 S Broadway Avenue, Bloomfield NE, 68718-0357. NPI Number 1033115704 has the healthcare provider type.

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1003091497 NPI number is provided on an as is basis without warranty of any kind. 1003091497 is maintained by the National Plan & Provider Enumeration System. The contents of Bloomfield Medical Clinic, Pc are for informational purposes only.