Individual
DR. KIMBERLY ANN RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3923 S 48TH ST, LINCOLN, NE 68506-4318
(402) 488-3106
(402) 488-3329
Mailing address
3923 S 48TH ST, LINCOLN, NE 68506-4318
(402) 488-3106
(402) 488-3329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1227
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025701100
—
NE
01
—
1306019062
MEDICARE WPS
NE
Enumeration date
03/27/2007
Last updated
05/04/2009
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