Provider Demographics
NPI:1902896327
Name:SOMMER, KIMBERLY N (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:N
Last Name:SOMMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 SPRINT PKWY
Mailing Address - Street 2:MAILSTOP: KSOPHG0201
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66251-6107
Mailing Address - Country:US
Mailing Address - Phone:913-315-6432
Mailing Address - Fax:913-315-0523
Practice Address - Street 1:6400 SPRINT PKWY
Practice Address - Street 2:MAILSTOP: KSOPHG0201
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66251-6107
Practice Address - Country:US
Practice Address - Phone:913-315-6432
Practice Address - Fax:913-315-0523
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45695163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSQ61311Medicare UPIN