Kandis Kay Blomker, D.C.
Individual provider Active NPI Chiropractor · Eden Valley, MN
NPI 1477613628 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477613628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3121 (MN)
- Practice address
- 342 State St. No.
Eden Valley, MN 55329 - Phone
- (320) 453-2311
- Fax
- (320) 453-2311
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Back in Action Chiropractic PA
Practice addresses (Care Compare)
903 Hwy 15 S
Hutchinson, MN 55350-3117
Phone (320) 587-6666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000695 | MN | Practitioner - Chiropractic | 6305889866 |
Reassigns benefits to 1 organization Practice locations: Hutchinson, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Action Chiropractic, PA | Chiropractor | Current |
Accepting new patients |
Locations
903 Highway 15 S
Hutchinson, MN 55350
Phone (320) 587-6666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3121 | MN | Yes |
Addresses
Primary practice location
342 State St. No.
Eden Valley, MN 55329
Mailing address
13276 Hwy 55
Watkins, MN 55389
Phone (320) 453-2311
Other providers in Eden Valley, MN
- Centracare Health-Paynesville LLC
- Cheryl'S Nursing Pool, Inc.
- Independent School Dist 463 Meeker County
- Taylor Ann Koopmeiners
- Carrie Ann Mueller
All providers in Eden Valley, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.