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Organization

INNONEPH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY PATRICK PEPIN MD (MD / CEO & PRESIDENT)
(605) 890-6456
Entity
Organization

Contact information

Practice address
17410 BURKE ST STE 105, OMAHA, NE 68118-2250
(531) 444-4757
Mailing address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(712) 796-2545
(844) 717-0585

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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