Individual
KRISTIN MCGINNIS BLONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-3627
Mailing address
3612 HORSEMINT TRL, ZEBULON, NC 27597-8909
(828) 612-8226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240738
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
113603
NC
Other
Enumeration date
08/08/2017
Last updated
02/27/2019
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