Individual
KAITLIN M MATTHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7100 STEPHANIE LN STE 100, LINCOLN, NE 68516-5332
(402) 484-9009
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9009
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1660
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065843713
—
NE
01
—
P01200459
RAILROAD MEDICARE
NE
Enumeration date
06/22/2012
Last updated
03/07/2023
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