Individual
KAREN K. BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 RIVER HILL RD, LOUISVILLE, KY 40207-1193
(502) 645-1043
(815) 550-2223
Mailing address
18 RIVER HILL RD, LOUISVILLE, KY 40207-1193
(502) 645-1043
(815) 550-2223
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01037987A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26931
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048653
ANTHEM PROVIDER NUMBER
KY
05
—
100028010
—
IN
05
—
64269319
—
KY
Enumeration date
02/09/2006
Last updated
06/27/2012
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