Individual
ANDREA KODAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1043
SC
363A00000X
Physician Assistant
Primary
990
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990
STATE LICENSE
NE
05
—
O354PA
—
SC
Enumeration date
04/28/2006
Last updated
10/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us