Organization
CAWAB MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBELRY K ANDERSON PMHNP (OWNER)
(402) 889-3633
Entity
Organization
Contact information
Practice address
11060 OAK ST STE 6, OMAHA, NE 68144-4244
(402) 889-3633
(531) 375-3755
Mailing address
11060 OAK ST STE 6, OMAHA, NE 68144-4244
(402) 889-3633
(531) 375-3755
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124062161
—
NE
Enumeration date
03/23/2020
Last updated
08/13/2025
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