# CAWAB MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891321790
- **Authorized official:** KIMBELRY K ANDERSON PMHNP (OWNER)
- **Authorized official phone:** (402) 889-3633

## Contact information

- **Practice address:** 11060 OAK ST STE 6, OMAHA, NE 68144-4244
- **Practice address phone:** (402) 889-3633
- **Practice address fax:** (531) 375-3755
- **Mailing address:** 11060 OAK ST STE 6, OMAHA, NE 68144-4244
- **Mailing address phone:** (402) 889-3633
- **Mailing address fax:** (531) 375-3755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2020
- **Last updated:** 08/13/2025