Individual
MR. KEVIN LEROY DEREMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
CREIGHTON UNIVERSITY DEPT. OF ATHLETICS, 2500 CALIFORNIA PLAZA, OMAHA, NE 68178-0001
(402) 280-1793
(402) 280-3110
Mailing address
13927 PINE ST, OMAHA, NE 68144-1152
(402) 697-3892
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
217
NE
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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