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Individual

KAREN A CULBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2510 S 171ST CT, OMAHA, NE 68130-2394
(402) 330-3063
(402) 334-4418
Mailing address
2510 S 171ST CT, OMAHA, NE 68130-2394
(402) 330-3063
(402) 334-4418

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
870
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06997
BLUE CROSS BLUE SHIELD
NE
01
21460
SPECTERA
NE
01
2200087
UNITED HEALTHCARE
NE
01
470763296
TAX IDENTIFICATION NUMBER
NE
Enumeration date
06/09/2005
Last updated
05/13/2008
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