| Kblumentritt Llc | |
|
515 Lincolnway W Mishawaka IN 46544-1808 | |
| (574) 210-8644 | |
| Not Available |
| Full Name | Kblumentritt Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 515 Lincolnway W, Mishawaka, Indiana |
| Authorized Official Name and Position | Kathy Elaine Blumentritt (DIRECTOR/OWNER) |
| Authorized Official Contact | 5742108644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kblumentritt Llc 515 Lincolnway W Mishawaka IN 46544-1808 Ph: (574) 210-8644 | Kblumentritt Llc 515 Lincolnway W Mishawaka IN 46544-1808 Ph: (574) 210-8644 |
| NPI Number | 1013374966 |
|---|---|
| Provider Enumeration Date | 01/23/2016 |
| Last Update Date | 01/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013374966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 85000011A (Indiana) | Primary |
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