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Individual

KIMBERLY PATTON BLASINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN-CNM093785
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000773649F
GA
05
000773649J
GA
05
000773649K
GA
01
10044863
AMERIGROUP
GA
01
329086
WELLCARE
GA
Enumeration date
06/02/2006
Last updated
10/30/2025
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