Provider Demographics
NPI:1154525806
Name:SIMONSEN, KARI A (MD)
Entity type:Individual
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First Name:KARI
Middle Name:A
Last Name:SIMONSEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:982162 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2162
Mailing Address - Country:US
Mailing Address - Phone:402-955-4005
Mailing Address - Fax:402-955-3849
Practice Address - Street 1:982162 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2162
Practice Address - Country:US
Practice Address - Phone:402-955-4005
Practice Address - Fax:402-955-3849
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-04-15
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Provider Licenses
StateLicense IDTaxonomies
NE241932080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE24193OtherSTATE LICENSE