Individual
KATHERINE C. RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4424
(402) 354-4435
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26209
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295702454
—
IA
01
—
26209
PHYSICIAN LICENSE
NE
01
—
41279
MEDICAL LICENSE
MN
05
—
470376604-12
—
NE
Enumeration date
03/07/2006
Last updated
12/17/2015
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