Nelson, Kimberly L
Nelson, Kimberly L is an individual health care provider with primary practice located at 8005 Farnam Dr Ste 305 , Omaha NE 68114-3426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Nelson, Kimberly L can be contacted via phone (402) 390-4111.Contact Information
Primary practice address
8005 Farnam Dr Ste 305
Omaha NE 68114-3426
Phone: (402) 390-4111
Fax: (402) 390-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1396771952 |
|---|---|
| LBN Legal business name | Nelson, Kimberly L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Dec 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396771952 | NPPES |
| Other | P00408000 | RR MEDICARE | |
| Other | 38661 | RR MEDICARE |
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