Individual
DR. KENNETH BERNARD COLARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 MERCY RD, ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT, OMAHA, NE 68124
(402) 398-6161
(402) 398-6982
Mailing address
900 SO 74 PLZ, STE 108, OMAHA, NE 68114-4648
(402) 391-3387
(402) 391-7821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20044
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002475
RAILROAD MEDICARE - GRP
—
05
—
47064207113
—
NE
05
—
5138503
—
IA
01
—
P00216795
RAILROAD MEDICARE
—
05
—
Q038145
—
TN
Enumeration date
05/11/2006
Last updated
08/29/2018
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