Individual
MR. TIM CHARLES KAUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.
Contact information
Practice address
5062 S 155TH ST, OMAHA, NE 68137-5002
(402) 861-6966
(402) 861-6938
Mailing address
5062 S 155TH ST, OMAHA, NE 68137-5002
(402) 861-6966
(402) 861-6938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8173
NE
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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