Individual
TERRANCE KEVIN O'MALLEY
Active
Individual
TERRANCE KEVIN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17796
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
17796
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03823
BCBS OF NEBRASKA
NE
01
—
09-01140
SHARE ADVANTAGE/LAKESIDE
NE
01
—
09-11001
SHARE ADVANTAGE/MERCY RD
NE
05
—
0975672
—
NE
01
—
200012944
RAILROAD MEDICARE
NE
01
—
2448
MIDLANDS CHOICE
NE
05
—
47063010113
—
NE
Enumeration date
05/30/2006
Last updated
11/22/2023
Update your record
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