Individual
KIM GROENJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3308 SAMSON WAY, SUITE 203, BELLEVUE, NE 68123-3234
(402) 717-7681
(402) 291-8806
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111081
NE
Other
Enumeration date
10/28/2009
Last updated
07/18/2011
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