Individual
MS. KIMBERLY J. GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10862 W DODGE RD, OMAHA, NE 68154-2609
(402) 671-0396
Mailing address
1404 N 189TH ST, ELKHORN, NE 68022-4486
(402) 650-5554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
848
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38529
BCBS OF NEBRASKA
NE
Enumeration date
10/26/2006
Last updated
10/31/2023
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