Individual
KIMBERLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 S 18TH ST, PLATTSMOUTH, NE 68048-2056
(402) 296-2800
Mailing address
14808 ERSKINE ST, OMAHA, NE 68116-5123
(402) 884-7690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1745
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710811574
—
NE
Enumeration date
10/17/2013
Last updated
10/17/2013
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