Provider Demographics
NPI:1740788017
Name:LIPINSKI, KIMBERLY BRAE
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:BRAE
Last Name:LIPINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-4498
Mailing Address - Country:US
Mailing Address - Phone:308-386-8779
Mailing Address - Fax:
Practice Address - Street 1:2615 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4498
Practice Address - Country:US
Practice Address - Phone:308-386-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula