Individual
KENNETH LEROY LOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 E KIMBALL ST, CALLAWAY, NE 68825-2589
(308) 836-2294
(308) 836-2451
Mailing address
PO BOX 129, CALLAWAY, NE 68825-0129
(308) 836-2294
(308) 836-2451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18839
NE
Other
Enumeration date
08/04/2006
Last updated
06/23/2010
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