Individual
KRISTY RENEE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
299 MAIN ST W, ASHVILLE, OH 43103-1296
(740) 983-2594
(740) 983-3340
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.091625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2941446
—
OH
05
—
3810020711
—
WV
Enumeration date
08/05/2008
Last updated
03/21/2022
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