Individual
TAYLOR KAY THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985645 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-1554
(402) 552-7928
Mailing address
10847 SUNRIDGE ST, OMAHA, NE 68136
(402) 841-8441
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9561
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
06/22/2023
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