National Provider Identifier
Kim Bloomer
Kim Bloomer is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 893-1010.
Profile Overview
- NPI
- 1114400702
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- September 11, 2018
- Last Updated
- September 11, 2018
Practice Location
- 40 La Riviere Dr
- Buffalo, NY 14202-4344
Phone: (716) 893-1010
Mailing Address
- 6835 Forestview Dr
- Lockport, NY 14094-7988
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1114400702
- Entity Type
- Individual
- Last Name
- Bloomer
- First Name
- Kim
- Mailing Street Address
- 6835 Forestview Dr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-7988
- Mailing Country
- US
- Mailing Phone
- (716) 930-4422
- Practice Street Address
- 40 La Riviere Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4344
- Practice Country
- US
- Practice Phone
- (716) 893-1010
- Enumeration Date
- September 11, 2018
- Last Updated
- September 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 005364-1 (NY, New York State)