Individual
KAY CHRISTINE THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8419 S 73RD PLZ STE 107, PAPILLION, NE 68046-1507
(402) 898-8500
(402) 898-8510
Mailing address
8419 S 73RD PLZ STE 107, PAPILLION, NE 68046-1507
(402) 898-8500
(402) 898-8510
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21780
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700615
UNITED HEALTHCARE
NE
01
—
160055443
RAILROAD MEDICARE
NE
01
—
1649203753
NPI
NE
01
—
234185
MIDLANDS CHOICE
NE
01
—
35619
BCBS
NE
01
—
470843122A00268046
CHAMPUS
NE
Enumeration date
07/09/2006
Last updated
11/20/2020
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