Individual
MS. PENNY KAY PLACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 S 70TH ST STE 101, LINCOLN, NE 68510-4293
(402) 488-1400
(402) 488-3215
Mailing address
9515 W ROCK CREEK RD, VALPARAISO, NE 68065-8719
(402) 433-2419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
837
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75306398600
—
NE
Enumeration date
11/30/2006
Last updated
12/15/2022
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