Individual
ADAM MICHAEL KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 N 103RD PLZ STE 100, OMAHA, NE 68114-1119
(402) 391-5055
(402) 391-5053
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
32205
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
DR.0069870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026448100
—
NE
05
—
1356665391
—
IA
Enumeration date
03/19/2010
Last updated
11/11/2022
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