Individual
KIMBERLY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16101 EVANS ST, SUITE 100, OMAHA, NE 68116-6447
(402) 717-9700
(402) 717-9701
Mailing address
16101 EVANS ST, SUITE 100, OMAHA, NE 68116-6447
(402) 717-9700
(402) 717-9701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014
NE
363AM0700X
Medical Physician Assistant
076849
IA
Other
Enumeration date
03/20/2015
Last updated
06/13/2016
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