Individual
DR. KRISTINE B SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
701 N 132ND ST, OMAHA, NE 68154-4000
(402) 496-6090
(402) 496-6158
Mailing address
701 N 132ND ST, OMAHA, NE 68154-4000
(402) 496-6090
(402) 496-6158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1021
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271414
MEDICARE PROVIDER NUMBER
—
05
—
47081680700
—
NE
Enumeration date
11/28/2007
Last updated
11/28/2007
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