Kimberly Dawn Sides, LPN
Individual provider Active NPI Licensed Practical Nurse · Bridgeport, NE
NPI 1295007151 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1295007151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 23306 (NE)
- Practice address
- 9738 US Highway 385
Bridgeport, NE 69336-2735 - Phone
- (308) 778-6407
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23306 | NE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 23306 | NE | Yes |
Addresses
Primary practice location
9738 US Highway 385
Bridgeport, NE 69336-2735
Mailing address
9738 US Highway 385
Bridgeport, NE 69336-2735
Phone (308) 778-6407
Other providers in Bridgeport, NE
- Jared Reynolds
- Kayla Roberts
- Deanna L Schrotberger
- Senex Foundation of Nebraska, Inc
- Senex Foundation of Nebraska, Inc
- Joseph Anthony Stichka
- Terri Stuart
- Synergy Rehab Bridgeport LLC
- Trail City Wellness LLC
- Nathan I Van Winkle
All providers in Bridgeport, NE · Licensed Practical Nurse in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.