MEDICARE: KIMBERLY BROWN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	3747P1801X	Personal Care Attendant
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1851103683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BROWN

Provider Business Mailing Address
First Line	:	8611 BLONDO ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-6159
Country	:	US
Telephone Number	:	402-830-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	8611 BLONDO ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-6159
Country	:	US
Telephone Number	:	402-830-9090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/20/2025

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Directions to “ KIMBERLY BROWN ” Practice Location

Language	Start Address	Practice Location

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