Provider Information for 1285101022
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KIMBER ANN KINSTLER LIMHP
Sex: Female
NPI: 1285101022
Last Updated: 2024-10-18
Certification Date: 2024-10-18
Certification Date: 2024-10-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285101022 | ||||||||||||
| Enumeration Date | 2018-10-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1055 N 115TH ST STE 105 OMAHA, NE 68154-4419 United States Phone: 402-708-6685 | Fax: | ||||||||||||
| Primary Practice Address | 1055 N 115TH ST STE 105 OMAHA, NE 68154-4419 United States Phone: 402-708-6685 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 3031 S 87TH ST | ||||||||||||
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