Individual
KATIE C QUICHOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Mailing address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2705
NE
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
07/03/2024
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