Individual
DR. KENNETH ZOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42ND @ DEWEY ST, OMAHA, NE 68198-1023
(402) 552-6007
(402) 552-6035
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17958
NE
208000000X
Pediatrics Physician
Primary
17958
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34122
BLUE CROSS BLUE SHIELD NE
NE
05
—
F76234
—
NE
Enumeration date
08/15/2005
Last updated
12/05/2018
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