Organization
ROBAK MEDICAL LLC
Active
Other names
Skinclusive Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
KELCEY ROBAK PA (CEO)
(402) 276-7038
Entity
Organization
Contact information
Practice address
1318 15TH ST, COLUMBUS, NE 68601-5224
(402) 276-7038
Mailing address
1318 15TH ST, COLUMBUS, NE 68601-5224
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/06/2022
Last updated
12/23/2022
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