Individual
KIMBERLEY A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
775
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37359
BCBS NE
NE
05
—
47081309213
—
NE
Enumeration date
05/05/2006
Last updated
01/12/2023
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