Kbclinic

NPI #1912146119 in Rockford, Illinois

Provider Information

NPI Number: 1912146119
Entity Type: Organization
Organization Name: Kbclinic
Primary Specialty: Surgery
Enumeration Date: Feb 11, 2009
Last Updated: Feb 11, 2009

Practice Location

Address: 5666 EAST STATE STREET
Address 2: AMBULATORY SURGERY CENTER/ DR BLUMOFE
City: Rockford
State: Illinois
ZIP Code: 61108-2425
Phone: (815) 227-2274

Authorized Official

Name: DR. KARIN ANNIKA BLUMOFE, MD
Title: GENERAL SURGEON
Phone: (815) 227-2274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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