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NPI Code Detail

MEDICARE: KIM ANN BRUNS I

MEDICARE:   KIM ANN BRUNS I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1780309708
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM ANN BRUNS I
Provider Business Mailing Address
First Line : 901 E 14TH ST
Second Line :
City : WAYNE
State : NE
Zip : 68787-1201
Country : US
Telephone Number : 402-375-3011
Fax Number :
Provider Business Practice Location Address
First Line : 901 E 14TH ST
Second Line :
City : WAYNE
State : NE
Zip : 68787-1201
Country : US
Telephone Number : 402-375-3011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2022
Last Update Date : 10/12/2022

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Directions to “ KIM ANN BRUNS I ” Practice Location

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