Individual
JEFFREY S KNERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 SECOND STREET, PONCA, NE 68770
(402) 755-2231
(402) 755-4100
Mailing address
111 SECOND ST, PONCA, NE 68770
(402) 755-2231
(402) 755-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14719
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928127
—
IA
01
—
153
MIDLANDS
—
01
—
22009
BCBS OF NEBRASKA
—
05
—
421059182 14
—
NE
01
—
92878
WELLMARK BCBS OF IA
—
Enumeration date
04/18/2006
Last updated
03/25/2008
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