Individual
MRS. KIMBERLY BLOOMCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209006104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041315130
RN STATE LICENSE
IL
05
—
041315130
—
IL
01
—
209006104
APN STATE LICENSE
IL
01
—
406120022
PTAN
—
Enumeration date
04/18/2007
Last updated
03/24/2026
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