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1669734794 NPI number — KIMBERLY K PIENING PA-C

NPI Number: 1669734794
Health Care Provider/Practitioner: KIMBERLY K PIENING PA-C

Information about “1669734794” NPI (KIMBERLY K PIENING PA-C) exists in 1669734794 in HTML format HTML  |  1669734794 in plain Text format TXT  |  1669734794 in PDF (Portable Document Format) PDF  |  1669734794 in an XML format XML  formats.

NPI Number : 1669734794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669734794",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIENING",
    "FirstName": "KIMBERLY",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SALBER",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "K",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 860876",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55486-0876",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-483-8590",
    "MailingAddressFaxNumber": "402-483-8599",
    "FirstLinePracticeLocationAddress": "3540 VILLAGE DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68516-4706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-483-3885",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/14/2012",
    "LastUpdateDate": "02/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "1659",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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