Individual
KIM M LEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
6508 S 108TH AVE, OMAHA, NE 68137-4713
(402) 212-4501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001329
IA
225200000X
Physical Therapy Assistant
Primary
857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001329
STATE LICENSE
IA
01
—
857
STATE CERTIFICATE
NE
Enumeration date
10/24/2008
Last updated
10/24/2008
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