Mickels, Kimberly A

Mickels, Kimberly A is an individual health care provider with primary practice located at 729 N Custer Ave , Grand Island NE 68803-4311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mickels, Kimberly A can be contacted via phone (308) 382-9266.

Contact Information

Primary practice address
729 N Custer Ave Grand Island NE 68803-4311
Phone: (308) 382-9266
Fax: (308) 382-5290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18645 Nebraska

Profile Details

NPI number 1689673386
LBN Legal business name Mickels, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 13th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689673386 NPPES
Nebraska Other 05980 BCBS NUMBER
Nebraska MEDICAID 47059252300 BCBS NUMBER

Popular Providers