Individual
MRS. KIMBERLY WUTSNU-BEATRICE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15652 N 4TH ST APT 11, BENNINGTON, NE 68007-5453
(402) 812-9156
Mailing address
9433 HIMEBAUGH CIR, OMAHA, NE 68134-1600
(402) 706-1357
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
86862439
NE
3747P1801X
Personal Care Attendant
45876737
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45876737
—
NE
05
—
86826439
—
NE
Enumeration date
12/15/2021
Last updated
01/28/2025
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