Organization
KIM M. BLOOMER, RD, CDN
Active
Other names
Kim M. Bloomer, RD, CDN
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M. BLOOMER RD, CDN (BUSINESS OWNER)
(716) 930-4422
Entity
Organization
Contact information
Practice address
6334 ROBINSON RD, LOCKPORT, NY 14094-7977
(716) 930-4422
Mailing address
6835 FORESTVIEW DR, LOCKPORT, NY 14094-7988
(716) 930-4422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
08/04/2019
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