Individual
KYLE ANDREW BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
1720 NICHOLASVILLE RD STE 302, LEXINGTON, KY 40503-1457
(859) 276-4382
Mailing address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3014236
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014236
KY APRN LICENSE
KY
Enumeration date
01/23/2020
Last updated
12/10/2020
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