Provider Demographics
NPI:1386254241
Name:AL-FREJI, KIMBERLY LEMBURG (LPN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LEMBURG
Last Name:AL-FREJI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 GERTIE AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1739
Mailing Address - Country:US
Mailing Address - Phone:402-202-2190
Mailing Address - Fax:
Practice Address - Street 1:4531 GERTIE AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1739
Practice Address - Country:US
Practice Address - Phone:402-202-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16436164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse