Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly J Dierks, PA-C

Individual provider Physician Assistant · NPI 1750374666

Kimberly J Dierks, PA-C is a Physician Assistant in Omaha, Nebraska. Works from 2 locations. Licensed in Iowa and Nebraska.

Licensed in
IA, NE
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

139 S 40th St
Omaha, NE 68131-3003
Phone: (402) 595-3939
Fax: (402) 595-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 — (402) 717-3769

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1108 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 001733 (IA)

Record details

NPI number1750374666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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