Individual
DR. ASHLEY ELIZABETH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1100, LAWRENCE, KS 66049-5240
(785) 505-5070
(785) 505-5264
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0439273
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028064
KAISER COMMERCIAL NUMBER
CO
05
—
25785036
—
CO
Enumeration date
06/21/2013
Last updated
10/22/2025
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