Provider Demographics
NPI:1992966733
Name:BLASIUS, KIMBERLY R (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:R
Last Name:BLASIUS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 271647
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-1647
Mailing Address - Country:US
Mailing Address - Phone:919-966-5136
Mailing Address - Fax:984-974-4873
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:N2198 UNC HOSPITALS, CB# 7010
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7010
Practice Address - Country:US
Practice Address - Phone:919-966-5136
Practice Address - Fax:984-974-4873
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2024-09-18
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00330207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology