Most Relevant Information
Provider Data
| NPI Number: | 1003446667 |
| Provider Name: | KYLE ANDREW BLOOMFIELD MSN, APRN, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 3014236 |
Most Important Dates
| Enumeration Date: | 01/23/2020 |
| Last Updated: | 12/10/2020 |
Provider Practice Location
1720 NICHOLASVILLE RD STE 302
LEXINGTON
KY
405031457
Practice Location Phone/Fax
| Phone: | 8592764382 |
| Fax: |
Provider Mailing Location
1740 NICHOLASVILLE RD
LEXINGTON
KY
405031431
Provider Mailing Phone/Fax
| Phone: | 8592606100 |
| Fax: |