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NPI Code Detail

MEDICARE: KRISTINA LYNN BLISS

MEDICARE: KRISTINA LYNN BLISS
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
12472B0301XBiomedical Engineering Technician
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1841636875
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA LYNN BLISS
Provider Business Mailing Address
First Line : 9322 STRAW HAYS ST
Second Line : UNIT 103
City : LAS VEGAS
State : NV
Zip : 89178-6752
Country : US
Telephone Number : 702-544-3262
Fax Number :
Provider Business Practice Location Address
First Line : 5659 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2811
Country : US
Telephone Number : 702-385-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2013
Last Update Date : 07/13/2013

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Directions to “ KRISTINA LYNN BLISS ” Practice Location

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