Gangwish, Kimberley F

Gangwish, Kimberley F is an individual health care provider with primary practice located at 620 N Diers Ave Ste 200, Grand Island NE 68803-4984. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gangwish, Kimberley F can be contacted via phone (308) 384-5400.

Contact Information

Primary practice address
620 N Diers Ave Ste 200 Grand Island NE 68803-4984
Phone: (308) 384-5400
Fax: (308) 384-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 427 Nebraska

Profile Details

NPI number 1598768046
LBN Legal business name Gangwish, Kimberley F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Oct 2nd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598768046 NPPES
Nebraska MEDICAID 47054564512

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