Organization
CCH PEDIATRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY K ALLEN DO FAAP (PRESIDENT)
(402) 564-7200
Entity
Organization
Contact information
Practice address
4508 38TH ST, STE 165, COLUMBUS, NE 68601
(402) 564-7200
(402) 564-7210
Mailing address
PO BOX 1066, COLUMBUS, NE 68602
(402) 564-7200
(402) 564-7210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025279800
—
NE
Enumeration date
08/02/2006
Last updated
08/22/2020
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