Individual
RONALD MATTHEW KMIECIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2560 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 941-5073
(402) 727-7628
Mailing address
2540 N HEALTHY WAY, FREMONT, NE 68025-2315
(402) 727-1091
(402) 727-7268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1854
NE
Other
Enumeration date
12/22/2011
Last updated
12/30/2020
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