Individual
KIMBERLY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 GUNNERS CT, LINCOLN, NE 68522-2422
(402) 730-1333
Mailing address
6717 S RIDGE DR, LINCOLN, NE 68512-3659
(402) 730-1333
(402) 730-1333
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
09/11/2025
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