| NPI | 1639362577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE KILE Insurance Specialist 402-493-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 12357) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-01-22 |