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Kimberlly A Bush, D.D.S.

Dentist in Kearney, NE. Individual provider (NPI-1).

NPI number1760699797
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1760699797
Entity type
Individual (NPI-1)
Name
Kimberlly A Bush
Credential
D.D.S.
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5424NEYes

Practice location

4112 6th Ave
Kearney, NE 68845-3395

Phone 308-236-9694

Mailing address

4112 6th Ave
Kearney, NE 68845-3395

Phone 308-236-9694

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