| Doctor Name: | MS. KIMBRA A ROSENBERG |
| NPI Number: | 1619960697 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 74245 |
| Business Practice Address: | 200 E 8th St Larned, KS - 675502602 |
| Business Phone Number: | 6202856424 |
| Business Fax Number: | 6202853660 |
| Mailing Address: | 623 W 6th St, LARNED |
| State: | KS |
| Postal Code: | 675502920 |
| Phone Number: | 6202852836 |
| Fax Number: | 6202853660 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 74245 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |