Individual
KRISTIN M RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-7507
(402) 483-6899
Mailing address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-7507
(402) 483-6899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068397013
—
NE
Enumeration date
12/15/2008
Last updated
05/31/2012
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