Individual
KIM BLOMSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N CAMBRIDGE DR, APPLETON, WI 54915-2950
(920) 427-8773
Mailing address
530 N CAMBRIDGE DR, APPLETON, WI 54915-2950
(920) 427-8773
(920) 574-3503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
01/20/2020
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