Individual
DR. KURT A DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18018 BURKE STREET, ELKHORN, NE 68022-4417
(402) 573-7337
Mailing address
16811 BURKE STREET, STE 101, OMAHA, NE 68118
(402) 573-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20334
NE
2080S0010X
Pediatric Sports Medicine Physician
20334
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0969915
—
IA
05
—
10-4764120
—
MI
05
—
10-4764149
—
MI
05
—
10-4902764
—
MI
05
—
1200232
—
NE
05
—
1200245
—
NE
05
—
1200246
—
NE
05
—
1200594
—
NE
05
—
1200595
—
NE
05
—
1201172
—
NE
05
—
1201453
—
NE
05
—
1969915
—
IA
05
—
296915
—
IA
01
—
31665
BCBS OF NE
NE
01
—
4721
MIDLANDS CHOICE
NE
Enumeration date
11/22/2006
Last updated
10/11/2012
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