Grimm, Kim M

Grimm, Kim M is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Grimm, Kim M can be contacted via phone (402) 815-6428.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 815-6428
Fax: (402) 815-1565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 110569 Nebraska

Profile Details

NPI number 1275753683
LBN Legal business name Grimm, Kim M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 13th, 2014 - about 12 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 1275753683 NPPES
Nebraska MEDICAID 100258661-00
Nebraska MEDICAID 1275753683

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