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Individual

MRS. KATHLEEN ANN MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
717 N 190TH PLZ, STE 1100, ELKHORN, NE 68022-3913
(402) 815-1700
(402) 815-1959
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111200
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026301600
NE
05
10026480100
NE
01
111200
APRN LICENSE NUMBER
NE
05
1164708392
IA
05
47068731799
NE
Enumeration date
11/02/2011
Last updated
02/21/2017
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