IndividualActive
Crystal Phipps Bloomfeldt
NPI 1669033098 · Independent Duty Corpsman · Kelso, WA
Provider details
- NPI number
- 1669033098
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
214 Autumn Hills Rd
Kelso, WA 98626-9018
Phone: (360) 355-7658
Approximate (ZIP-level) locationGet directions
Mailing address
214 Autumn Hills Rd
Kelso, WA 98626-9018
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2019-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.