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Kendall Blake Bloomer, DC

Chiropractor in Stuart, FL. Individual provider (NPI-1).

NPI number1437901774
StatusActive
Last updated in NPPESApr 2, 2024

Details

NPI
1437901774
Entity type
Individual (NPI-1)
Name
Kendall Blake Bloomer
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2024
Certification date
Apr 2, 2024
Last updated
Apr 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor14973FLYes

Practice location

401 Se Osceola St
Stuart, FL 34994-2503

Phone 772-247-1077

Mailing address

401 Se Osceola St
Stuart, FL 34994-2503

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