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Individual

DR. PAUL L KRABBENHOFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5401 SOUTH STREET, LINCOLN, NE 68506-2134
(402) 413-3531
(402) 413-3535
Mailing address
5401 SOUTH STREET, LINCOLN, NE 68506-2134
(402) 413-3531
(402) 413-3535

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20118
NE
2081P0004X
Spinal Cord Injury Medicine Physician
20118
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100282290A
KANSAS MEDICAID
NE
01
204651806
MISSOURI MEDICAID
NE
01
2300008
UNITED HEALTH CARE
NE
01
250007074
MEDICARE RAILROAD
NE
01
271000
COVENTRY OF NEBRASKA
NE
01
31191
BLUE CROSS BLUE SHIELD
NE
01
4859
MIDLANDS CHOICE
NE
01
7780860
SOUTH DAKOTA MEDICAID
NE
01
982124
IOWA MEDICAID
NE
Enumeration date
08/30/2006
Last updated
07/02/2013
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