Organization
BLOOM PEDIATRICS OF SOUTHERN IOWA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACY L KENNEDY ARNP (ARNP)
(641) 226-8866
Entity
Organization
Contact information
Practice address
925 CHURCH ST, OTTUMWA, IA 52501-4223
(641) 814-5437
Mailing address
925 CHURCH ST, OTTUMWA, IA 52501-4223
(641) 814-5437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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