Individual
CALLIEANN GEORGIA KOHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
1410 N 1ST ST, SEWARD, NE 68434-1014
(402) 641-8180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3031
NE
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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