Individual
KENNETH J WASMUND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 E ZERO ST, AINSWORTH, NE 69210-1556
(402) 387-2800
(402) 387-2804
Mailing address
945 E ZERO ST, AINSWORTH, NE 69210-1556
(402) 387-2800
(402) 387-2804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEP8922
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470553011-00
—
NE
Enumeration date
06/30/2020
Last updated
06/26/2023
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