Deats, Kimberley A

Deats, Kimberley A is an sole proprietor health care provider with primary practice located at 909 N 96Th St Suite 201, Omaha NE 68114-2497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Deats, Kimberley A can be contacted via phone (402) 330-4555.

Contact Information

Primary practice address
909 N 96Th St Suite 201 Omaha NE 68114-2497
Fax: (402) 934-0945
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1146 Nebraska

Profile Details

NPI number 1518078260
LBN Legal business name Deats, Kimberley A
Credentials M.P.A.S, P.A.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518078260 NPPES
Nebraska Other P00166317 RAILROAD MEDICARE

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