Individual
KEVIN RAYMOND OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
Mailing address
84451 539 AVE, MEADOW GROVE, NE 68752-3530
(402) 750-1649
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
2015011939
MO
242T00000X
Perfusionist
Primary
39
NE
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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