Otto, Kimberlee Jo
Otto, Kimberlee Jo is an individual health care provider with primary practice located at 20697 Mcpherson Ave , Council Bluffs IA 51503-5943. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Otto, Kimberlee Jo can be contacted via phone (402) 598-8868.Contact Information
Primary practice address
20697 Mcpherson Ave
Council Bluffs IA 51503-5943
Phone: (402) 598-8868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10616 | Nebraska |
| Pharmacy Service Providers / Pharmacist | 183500000X | 18405 | Iowa |
Profile Details
| NPI number | 1154319895 |
|---|---|
| LBN Legal business name | Otto, Kimberlee Jo |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 8th, 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.
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