# KENDRA JO BLOMBERG

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

## Provider details

- **NPI number:** 1811793946
- **Gender:** F
- **Credential:** APRN, CNP, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041509652 | IL | — |
| 163W00000X | Registered Nurse | 2007018601 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2024045263 | MO | Yes |

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025