Kimberly Elam
Individual provider Active NPI Chore Provider · York, NE
NPI 1477262178 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1477262178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 1715 N Delaware Ave
York, NE 68467-1202 - Phone
- (402) 362-6655
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Public Schools | Current |
Accepting new patients |
Locations
1715 N Delaware Ave
York, NE 68467
Phone (402) 362-6655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Yes |
Addresses
Primary practice location
1715 N Delaware Ave
York, NE 68467-1202
Mailing address
1715 N Delaware Ave
York, NE 68467-1202
Phone (402) 362-6655
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michellesinsel@yorkdukes.org | Direct |
Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. 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.