Individual
KATIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Mailing address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1464
NE
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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