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Individual

KAYLA KIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
Mailing address
1851 220TH ST, GRAVITY, IA 50848-7514
(712) 621-7330

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
075130
IA

Other

Enumeration date
08/20/2014
Last updated
08/20/2014
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