# NEBRASKA UROLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urology, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356364335
- **Authorized official:** TARA MICHELE KIRKPATRICK (PRESIDENT)
- **Authorized official phone:** (402) 489-8888

## Contact information

- **Practice address:** 5500 PINE LAKE RD, LINCOLN, NE 68516
- **Practice address phone:** (402) 489-8888
- **Practice address fax:** (402) 421-1945
- **Mailing address:** 5500 PINE LAKE RD, LINCOLN, NE 68516-3389
- **Mailing address phone:** (402) 489-8888
- **Mailing address fax:** (402) 421-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 07/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CO4248 | RR MEDICARE | NE |