Gangwish, Kimberley F
Gangwish, Kimberley F is an individual health care provider with primary practice located at 620 N Diers Ave Ste 200, Grand Island NE 68803-4984. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gangwish, Kimberley F can be contacted via phone (308) 384-5400.Contact Information
Primary practice address
620 N Diers Ave Ste 200
Grand Island NE 68803-4984
Phone: (308) 384-5400
Fax: (308) 384-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 427 | Nebraska |
Profile Details
| NPI number | 1598768046 |
|---|---|
| LBN Legal business name | Gangwish, Kimberley F |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | Oct 2nd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598768046 | NPPES |
| Nebraska | MEDICAID | 47054564512 |
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