Individual
KIMBERLY MARIE OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2810 W 35TH ST, STE 2, KEARNEY, NE 68845-2909
(308) 237-7388
(308) 237-7394
Mailing address
2810 W 35TH ST, STE 2, KEARNEY, NE 68845-2909
(308) 237-7388
(308) 237-7394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1169
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025058400
—
NE
01
—
39731
BCBS
NE
Enumeration date
07/09/2006
Last updated
10/21/2014
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