Kimberly Johnson Od Llc

NPI 1245258292 - Optometrist - 152W00000X

NPI Details
NPI 1245258292
Enumeration Date 07/18/2006
Last Updated 06/08/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIMBERLY KIMBERLY
Position MEMBER
Phone (308) 537-2020
Fax (308) 537-2280
Practice Location
902 AVENUE D
STE 102 B
GOTHENBURG NE, 69138-1900, US
Phone (308) 537-2020
Fax (308) 537-2280
Business Location
902 AVENUE D
STE 102 B
GOTHENBURG NE, 69138-1900, US
Phone (308) 537-2020
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 1232
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According to our database, Kimberly Johnson Od Llc NPI is 1245258292, taxonomy code is 152W00000X and license number is 1232, license state is located at Nebraska. Kimberly Johnson Od Llc physically located at 902 Avenue D, Gothenburg NE, 69138-1900. NPI Number 1033115704 has the healthcare provider type.

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1245258292 NPI number is provided on an as is basis without warranty of any kind. 1245258292 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Johnson Od Llc are for informational purposes only.