Healthcare Provider Details

I. General information

NPI: 1013884907
Provider Name (Legal Business Name): MRS. LAURIE KAY BLUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 W 8TH ST
HANFORD CA
93230-4536
US

IV. Provider business mailing address

2123 W HOPKINS WAY
HANFORD CA
93230-3684
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-5060
  • Fax: 559-583-5062
Mailing address:
  • Phone: 559-269-3555
  • Fax: 559-583-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number95BB448AB4
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: