Provider Demographics
NPI:1801392345
Name:HEMMER, KIMBERLEY DAWN (RN)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:DAWN
Last Name:HEMMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:NE
Mailing Address - Zip Code:68649-3549
Mailing Address - Country:US
Mailing Address - Phone:402-270-6928
Mailing Address - Fax:
Practice Address - Street 1:741 W 9TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:NE
Practice Address - Zip Code:68649-3514
Practice Address - Country:US
Practice Address - Phone:402-270-6928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE72656163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE72656OtherBOARD OF NURSING