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Organization
KEARNEY CLINIC PC
Active
Organization
KEARNEY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY K DOBISH (ADMINISTRATOR)
(308) 865-2141
Entity
Organization
Contact information
Practice address
211 WEST 33RD STREET, KEARNEY, NE 68845
(308) 865-2141
(308) 234-7582
Mailing address
211 W 33RD ST, KEARNEY, NE 68845-3484
(308) 865-2141
(308) 234-7582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2896
BCBS
—
Enumeration date
10/25/2006
Last updated
01/26/2015
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