Individual
KIM BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 S 27TH ST, OMAHA, NE 68105-2623
(402) 188-0101
Mailing address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 991-9880
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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