Individual
PAYTON MALONE BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 BARNES RD, WILLIAMSTOWN, KY 41097-9483
(859) 824-8400
(859) 824-8444
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022-02858
NC
207Q00000X
Family Medicine Physician
Primary
TP402
KY
Other
Enumeration date
04/01/2021
Last updated
08/14/2024
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