Individual
KATHERINE BRODAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
7831 CHICAGO CT, OMAHA, NE 68114-3654
(402) 354-1230
(402) 354-1235
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2000
NE
363AM0700X
Medical Physician Assistant
Primary
2000
NE
Other
Enumeration date
02/24/2016
Last updated
10/13/2025
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