Individual
DR. KRIS L MLECZKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 W FAIDLEY AVE, ST. FRANCIS MED. CTR., GRAND ISLAND, NE 68803-4205
(308) 398-5424
(308) 398-5429
Mailing address
2620 W FAIDLEY AVE, ST. FRANCIS MED. CTR., GRAND ISLAND, NE 68803-4205
(308) 398-5424
(308) 398-5429
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18106
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32306
BCBS
NE
05
—
47080740913
—
NE
Enumeration date
04/25/2006
Last updated
07/08/2007
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