MEDICARE: KIMBERLY BLOCTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1588504559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BLOCTON

Provider Business Mailing Address
First Line	:	PO BOX 230003
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36123-0003
Country	:	US
Telephone Number	:	334-928-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	6526 FIREFLY LN
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-8923
Country	:	US
Telephone Number	:	334-928-8686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	04/07/2026

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Directions to “ KIMBERLY BLOCTON ” Practice Location

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