Healthcare Provider Details

I. General information

NPI: 1164837399
Provider Name (Legal Business Name): KIMBERLY HUHMANN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST # 22
BOSTON MA
02111
US

IV. Provider business mailing address

983255 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-3255
US

V. Phone/Fax

Practice location:
  • Phone: 402-880-6098
  • Fax:
Mailing address:
  • Phone: 402-559-4500
  • Fax: 402-559-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number7163
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number273938
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: