Individual
KATELYN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 991-6559
(402) 991-3552
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 991-6559
(402) 991-3552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2107
NE
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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