Kim, Blossom

Kim, Blossom is an sole proprietor health care provider with primary practice located at 9108 Trumbauer Way , Elk Grove CA 95758-7434. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kim, Blossom can be contacted via phone (916) 207-4257.

Contact Information

Primary practice address
9108 Trumbauer Way Elk Grove CA 95758-7434
Phone: (916) 207-4257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 59082 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1871137976
LBN Legal business name Kim, Blossom
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2019
Last updated Mar 1st, 2021 - about 5 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.

Request for update

Popular Providers