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1457832677
KENNETH MCCORD TIERNEY
OMAHA, NE
NPI
1457832677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 112609)
Enumeration Date
2018-08-25
Last Update Date
2018-08-25
Business Address
Dr. KENNETH MCCORD TIERNEY APRN
2500 CALIFORNIA PLZ
OMAHA, NE 68178-0133
Phone number: 402-280-2251
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Mailing Address
Dr. KENNETH MCCORD TIERNEY APRN
5621 PINE ST
OMAHA, NE 68106-2210
Phone number: 402-990-2140
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