# KRIS M BLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497700223
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | OS10451 | FL | — |
| 208D00000X | General Practice Physician | OS10451 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02001471A | INDIANA LICENSE | IN |
| 01 | — | 02001471B | CSR | IN |
| 01 | — | 0S10451 | FLORIDA LICENCE | FL |
| 01 | — | 17085 | BCBSFL | FL |