Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH EVAN BLOOM, DPM
ActiveDR. KENNETH EVAN BLOOM, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MOORESVILLE, North Carolina. NPI 1811983372 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MOORESVILLE, NC
Registration Details
- NPI Number
- 1811983372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.855959092845 yrs)
- Last Updated
- Aug 7, 2023
- Licenses
-
414 (NC)414 (NC)
Practice Information
- Address
-
137 PROFESSIONAL PARK DRSUITE CMOORESVILLE, NC, 281176540Browse NC providers · Browse ZIP 28117
- Phone
- 7046628336
- Fax
- 7046628525
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in MOORESVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. KURT ASHLEY MASSEY | DPM | 1417943986 |
| DR. DEREK JAMES SLOVAK | D.P.M | 1821250408 |
| DR. JOE K ADES | DPM | 1073750683 |
| DR. JAMES ALEXANDER ROBINSON | D.P.M. | 1659670248 |
| TEDDY MANNING MUSSELMAN | DPM | 1962762344 |
| DR. FRANCESCA ZAPPASODI | — | 1407105869 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.