Individual
KIMBERLY ROSE BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
(814) 456-2375
Mailing address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP003786B
PA
Other
Enumeration date
11/14/2006
Last updated
05/24/2012
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