Provider Demographics
NPI:1740087527
Name:SIMPSON, KIRSTEN JOYCE
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:JOYCE
Last Name:SIMPSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70945 640 AVE
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:NE
Mailing Address - Zip Code:68337-1713
Mailing Address - Country:US
Mailing Address - Phone:402-245-0853
Mailing Address - Fax:
Practice Address - Street 1:70945 640 AVE
Practice Address - Street 2:
Practice Address - City:DAWSON
Practice Address - State:NE
Practice Address - Zip Code:68337-1713
Practice Address - Country:US
Practice Address - Phone:402-245-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care