THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
09/07/25 06:28:41 AM

General Information

Former Name: No Former Name
Medical School: Michigan State University (Osteopathic), 2018
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 100 Stokes St
Toronto ON M6J 1H4
Business Email: No Information Available
Phone: 416-535-8501
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 09 Dec 2020
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2020
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Toronto East Health Network Toronto
Centre for Addiction & Mental Health Toronto
North York General Hospital Toronto
HOSPITAL: Toronto East Health Network
LOCATION: Toronto
HOSPITAL: Centre for Addiction & Mental Health
LOCATION: Toronto
HOSPITAL: North York General Hospital
LOCATION: Toronto

Professional Corporation Information

Corporation Name: DR. KIMBERLY BLOM MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 17 Dec 2021
Shareholders:
Dr. K. Blom (CPSO#: 115993 )
Business Address: 100 Stokes St
Toronto ON M6J 1H4

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Michigan State University (Osteopathic), 2018

Practice Information

Primary Business Location: 100 Stokes St
Toronto ON M6J 1H4
Business Email: No Information Available
Phone: 416-535-8501
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 09 Dec 2020
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2020
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Toronto East Health Network Toronto
Centre for Addiction & Mental Health Toronto
North York General Hospital Toronto
HOSPITAL: Toronto East Health Network
LOCATION: Toronto
HOSPITAL: Centre for Addiction & Mental Health
LOCATION: Toronto
HOSPITAL: North York General Hospital
LOCATION: Toronto

Professional Corporation Information

Corporation Name: DR. KIMBERLY BLOM MEDICINE PROFESSIONAL CORPORATION
Certificate of Authorization Status: Issued Date: 17 Dec 2021
Shareholders:
Dr. K. Blom (CPSO#: 115993 )
Business Address: 100 Stokes St
Toronto ON M6J 1H4

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KIMBERLY BLOM may practise only in the areas of medicine in which Dr. BLOM is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KIMBERLY BLOM may practise only in the areas of medicine in which Dr. BLOM is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Michigan State University (Osteopathic), 2018

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 12 Jan 2021
Subsequent certificate of registration issued: Restricted Certificate Effective: 20 Aug 2020
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 20 Aug 2020
Transfer of class of registration to: Postgraduate Education Certificate Effective: 19 Nov 2018
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 27 Aug 2018
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 12 Jan 2021
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 20 Aug 2020
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 20 Aug 2020
DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 19 Nov 2018
DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 27 Aug 2018