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Individual

KIMBERLEY A MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7710 MERCY RD STE 3000, OMAHA, NE 68124-2350
(402) 932-1999
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 552-2100

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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