Individual
BRADLEY DAVID KUTSCHKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1625 N 205TH ST, ELKHORN, NE 68022-4885
(402) 758-5464
(402) 758-5398
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 758-5464
(402) 758-5398
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
112509
NE
Other
Enumeration date
07/31/2018
Last updated
07/02/2025
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