Provider Demographics
NPI:1053631929
Name:BLUME, KRISTEN L (MD)
Entity Type:Individual
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First Name:KRISTEN
Middle Name:L
Last Name:BLUME
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10995 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2616
Mailing Address - Country:US
Mailing Address - Phone:317-842-7928
Mailing Address - Fax:317-841-3337
Practice Address - Street 1:10995 ALLISONVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2616
Practice Address - Country:US
Practice Address - Phone:317-842-7928
Practice Address - Fax:317-841-3337
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2013-09-01
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Provider Licenses
StateLicense IDTaxonomies
IN01071939A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine