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Contact Information

KIM M GRIMM, APRN
8303 DODGE ST
OMAHA, NE68114-4108
 Phone: 402-815-6428
 Fax: 402-815-1565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIM M GRIMM · (Female)

NPI # 1275753683
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/26/2007
Last updated 08/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 110569
  • IA Medicaid 1275753683
  • NE Medicaid 100258661-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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