Individual
JOSEPH IRA RADKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-2690
Mailing address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111524
NE
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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