Provider Demographics
NPI:1699969279
Name:DOHT, KIMBERLY A (APRN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:DOHT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23048
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68542-3048
Mailing Address - Country:US
Mailing Address - Phone:402-423-0396
Mailing Address - Fax:402-423-0397
Practice Address - Street 1:3740 N 27TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4162
Practice Address - Country:US
Practice Address - Phone:402-423-0396
Practice Address - Fax:402-423-0397
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily