Individual
MS. KIMBERLY MARIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 SWEETWATER AVE, ALLIANCE, NE 69301-2672
(308) 762-4331
(308) 762-4341
Mailing address
1604 SWEETWATER AVE, ALLIANCE, NE 69301-2672
(308) 762-4331
(308) 762-4341
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026705200
—
NE
Enumeration date
05/24/2023
Last updated
05/24/2023
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