Organization
KUBAT CLINICAL SERVICES, LLC
Active
Parent organization
PERCIPIO KP HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERCIPIO KP HOLDINGS, LLC
Authorized official
MR. BRIAN PAUL DANIEL (CHIEF OPERATING OFFICER)
(402) 315-1944
Entity
Organization
Contact information
Practice address
4924 CENTER ST, OMAHA, NE 68106-3219
(402) 558-8888
(402) 558-7388
Mailing address
4924 CENTER ST, OMAHA, NE 68106-3219
(402) 558-8888
(402) 558-7388
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
06/03/2021
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