Kimberly Dawn Sides, LPN
Licensed Practical Nurse in Bridgeport, NE. Individual provider (NPI-1).
NPI number1295007151
StatusActive
Last updated in NPPESFeb 7, 2012
Details
- NPI
- 1295007151
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Dawn Sides
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Feb 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 23306 | NE | Yes |
Practice location
9738 Us Highway 385Bridgeport, NE 69336-2735
Phone 308-778-6407
Mailing address
9738 Us Highway 385Bridgeport, NE 69336-2735
Phone 308-778-6407
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