Individual
DR. KEVIN R MOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 S 40TH ST, SUITE 107, LINCOLN, NE 68506-5243
(402) 486-3400
(402) 486-3344
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-4167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21192
NE
208600000X
Surgery Physician
Primary
21192
NE
Other
Enumeration date
05/02/2006
Last updated
04/02/2024
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