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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