Individual
DR. KAY EILEEN TICEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6818 GROVER ST, SUITE 201, OMAHA, NE 68106-3640
(402) 392-1278
(402) 392-1291
Mailing address
6818 GROVER ST, SUITE 201, OMAHA, NE 68106-3640
(402) 392-1278
(402) 392-1291
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12608
NE
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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