Provider Demographics
NPI:1427091511
Name:REIMER, KIM ANN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:ANN
Last Name:REIMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:ANN
Other - Last Name:DESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:444 W FORT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-4535
Mailing Address - Country:US
Mailing Address - Phone:208-422-1018
Mailing Address - Fax:
Practice Address - Street 1:506 E LAKECREST DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9330
Practice Address - Country:US
Practice Address - Phone:785-236-1658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS83033163W00000X
KS45466363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse