Provider Demographics
NPI:1649209776
Name:APKER, KIMBERLY A (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:APKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4460
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104
Mailing Address - Country:US
Mailing Address - Phone:866-491-5807
Mailing Address - Fax:913-491-0411
Practice Address - Street 1:13819 GOLD CIRCLE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:402-330-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA334482085R0202X
NE189122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE31732OtherBCBS
IA6915710Medicaid
1600523OtherUHC SHARE ALLIANCE
9108OtherMIDLANDS
1600110OtherUHC SHARE ALLIANCE
IA5915710Medicaid
IA19067OtherBCBS
IA2915710Medicaid
IA7915710Medicaid
IA8915710Medicaid
BA6847086OtherIA CONTROLLED SUBSTANCE
BA6847086OtherIA CONTROLLED SUBSTANCE
9108OtherMIDLANDS
IA5915710Medicaid
IA8915710Medicaid