Individual
KENDRA JO BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, RN
Contact information
Practice address
1000 W NIFONG BLVD BLDG 6, COLUMBIA, MO 65203-5615
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041509652
IL
163W00000X
Registered Nurse
2007018601
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024045263
MO
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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