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Michelle M Kim

Community Health Worker in Omaha, NE. Individual provider (NPI-1).

NPI number1265237697
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1265237697
Entity type
Individual (NPI-1)
Name
Michelle M Kim
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2025
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

6902 Pine St
Omaha, NE 68106-2855

Phone 402-559-6418 · Fax 402-559-5737

Mailing address

985450 Nebraska Medical Ctr
Omaha, NE 68198-5450

Phone 402-559-8943 · Fax 402-559-5753

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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