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Contact Information

KIM BLOOMER
40 LA RIVIERE DR
BUFFALO, NY14202-4344
 Phone: 716-893-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KIM BLOOMER · (Female)

NPI # 1114400702
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2018
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005364-1
  • NY Other 005364-1 NEW YORK STATE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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