Bly, Kc

Bly, Kc is an individual health care provider with primary practice located at 1508 Division St Ste 205 , Oregon City OR 97045-1585. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Bly, Kc can be contacted via phone (503) 657-1071.

Contact Information

Primary practice address
1508 Division St Ste 205 Oregon City OR 97045-1585
Phone: (503) 657-1071
Fax: (503) 657-3321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 202107304NP-PP Oregon

Profile Details

NPI number 1902198708
LBN Legal business name Bly, Kc
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Jul 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902198708 NPPES
Connecticut MEDICAID 009003526
Connecticut MEDICAID 500795806

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