Individual
KYLE RAYMOND BLOEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, LEXINGTON, KY 40536
(859) 323-2636
(859) 323-5682
Mailing address
800 ROSE ST, ROOM M-53, LEXINGTON, KY 40536-0293
(859) 323-5083
(859) 323-5682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4349
KY
Other
Enumeration date
03/27/2017
Last updated
08/03/2018
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