Organization
DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID N KINGSLEY MD (PRESIDENT PHYSICIAN)
(308) 865-2331
Entity
Organization
Contact information
Practice address
404 W 39TH ST, KEARNEY, NE 68845-2806
(308) 865-2331
(308) 865-2883
Mailing address
404 W 39TH ST, KEARNEY, NE 68845-2806
(308) 865-2331
(308) 865-2883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17666
NE
Other
Enumeration date
07/12/2007
Last updated
12/17/2007
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