Individual
BRUCE LYNN KOHTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2810 W 35TH ST, KEARNEY, NE 68845-2909
(308) 865-2570
(308) 865-2508
Mailing address
2810 W 35TH ST, KEARNEY, NE 68845-2909
(308) 865-2570
(308) 865-2508
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
785
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11622
MIDLANDS CHOICE
NE
01
—
37446
BCBS OF NEBRASKA
NE
Enumeration date
06/08/2006
Last updated
02/06/2024
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