Individual
DR. KATHERINE E. PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7205 W CENTER RD STE 104, OMAHA, NE 68124-2387
(402) 392-7684
(531) 355-0001
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
346
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01264
BCBS OF NEBRASKA
NE
05
—
0572560
—
IA
05
—
1201054
—
NE
05
—
1201055
—
NE
05
—
1201309
—
NE
05
—
1201369
—
NE
05
—
1201464
—
NE
05
—
1201496
—
NE
05
—
1201500
—
NE
05
—
1572560
—
IA
01
—
240594
MIDLANDS CHOICE
NE
05
—
3572560
—
IA
Enumeration date
11/28/2006
Last updated
10/02/2018
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