Individual
KIMBERLY A KREIKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 N 103RD PLZ, SUITE 102, OMAHA, NE 68114-1114
(402) 354-0120
(402) 354-0125
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1413
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480109
—
NE
05
—
1710125240
—
IA
Enumeration date
01/21/2009
Last updated
01/27/2017
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