Provider Demographics
NPI:1144961491
Name:BLUHM, KIRSTEN (DO)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:BLUHM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14712 VICTOR HUGO BLVD N
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-6419
Mailing Address - Country:US
Mailing Address - Phone:651-466-1900
Mailing Address - Fax:
Practice Address - Street 1:14712 VICTOR HUGO BLVD N
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:MN
Practice Address - Zip Code:55038-6419
Practice Address - Country:US
Practice Address - Phone:651-466-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2025-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN80210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine