Individual
KATHLEEN KAREN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 S 84TH ST, OMAHA, NE 68124-3215
(402) 955-7777
Mailing address
3000 S 84TH ST, OMAHA, NE 68124-3215
(402) 955-7777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P42649
IA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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