Individual
DEANN K PSOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 WEST 33RD STREET, KEARNEY, NE 68845
(308) 865-2141
(308) 234-7582
Mailing address
211 W 33RD ST, KEARNEY, NE 68845-3484
(308) 865-2141
(308) 234-7582
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18329
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06456
BCBS
—
05
—
47064194537
—
NE
Enumeration date
10/25/2006
Last updated
08/08/2012
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