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KIMBERLY BLUE
NPI 1821733494
Licensed Practical Nurse in Philadelphia, PA

Active since April 28, 2022
4209 ROBBINS AVE, PHILADELPHIA, PA 19135(267) 402-0713 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Blue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BLUE (NPI 1821733494) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PA316486) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1821733494
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY BLUE
Location Address4209 ROBBINS AVEPhiladelphia, PA 19135-3114
Mailing Address4209 Robbins AvePhiladelphia, PA 19135-3114 · (267) 402-0713
Phone(267) 402-0713
Sole ProprietorYes
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1821733494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in PA · PA316486
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4209 ROBBINS AVE, Philadelphia, PA 19135
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Blue's NPI number?

The NPI number for Kimberly Blue is 1821733494. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Kimberly Blue located?

Kimberly Blue practices at 4209 Robbins Ave, Philadelphia, PA 19135. The listed phone number is (267) 402-0713.

What is Kimberly Blue's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Blue was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.