Provider Demographics
NPI:1194601146
Name:KNUEVEN, KIMBERLY KAY
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:KAY
Last Name:KNUEVEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 7TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-2266
Mailing Address - Country:US
Mailing Address - Phone:402-941-4814
Mailing Address - Fax:
Practice Address - Street 1:719 7TH ST APT 5
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-2266
Practice Address - Country:US
Practice Address - Phone:402-941-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide