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Individual

TERRANCE KEVIN O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115

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
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