Individual
MS. KATHRINE L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 NORTH 24TH STREET, OMAHA, NE 68110
(402) 451-5549
(402) 502-0687
Mailing address
2505 N 24TH ST, OMAHA, NE 68110-2252
(402) 451-5549
(402) 502-0687
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
121171
NE
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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