Kim M. Bloomer, Rd, Cdn

NPI #1588219893 in Lockport, New York

Provider Information

NPI Number: 1588219893
Entity Type: Organization
Organization Name: Kim M. Bloomer, Rd, Cdn
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 4, 2019
Last Updated: Aug 4, 2019

Practice Location

Address: 6334 ROBINSON RD
City: Lockport
State: New York
ZIP Code: 14094-7977
Phone: (716) 930-4422

Authorized Official

Name: KIM M. BLOOMER, RD, CDN
Title: BUSINESS OWNER
Phone: (716) 930-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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