Individual
KIMBERLY T. BLEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 923-0131
(478) 922-6530
Mailing address
116 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 923-0131
(478) 922-6530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032131
GA
Other
Enumeration date
06/22/2006
Last updated
07/17/2008
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