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Organization

KEARNEY CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PEGGY K DOBISH (ADMINISTRATOR)
(308) 865-2141
Entity
Organization

Contact information

Practice address
211 WEST 33RD STREET, KEARNEY, NE 68845
(308) 865-2141
(308) 234-7582
Mailing address
211 W 33RD ST, KEARNEY, NE 68845-3484
(308) 865-2141
(308) 234-7582

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207Q00000X
Family Medicine Physician
Primary
208000000X
Pediatrics Physician
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2896
BCBS
Enumeration date
10/25/2006
Last updated
01/26/2015
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