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Individual

PAUL R MUETING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
3500 CENTRAL AVE, KEARNEY, NE 68847-2944
(308) 865-2512
(308) 865-2506
Mailing address
PO BOX 2168, KEARNEY, NE 68848-2168
(308) 865-2512
(308) 865-2506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01008
KS
363A00000X
Physician Assistant
Primary
994
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200316500
KS
01
234493
MIDLANDS CHOICE
01
37464
BCBS
NE
01
426846
BCBS
KS
05
561829082
NE
01
P00178411
RAILROAD MEDICARE
NE
01
P00977417
RAILROAD MEDICARE
KS
Enumeration date
05/23/2005
Last updated
01/19/2012
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