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Individual

KATHERINE E. ANGLIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13808 W MAPLE RD, SUITE 100, OMAHA, NE 68164-6231
(402) 955-3000
(402) 955-7055
Mailing address
8401 W DODGE RD, SUITE 280, OMAHA, NE 68114-3451
(402) 955-6877
(402) 955-6880

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22458
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1201303
SHARE ADVANTAGE
NE
01
243299
MIDLANDS CHOICE
NE
01
3433
BLUE CROSS BLUE SHIELD
NE
05
47068937200
NE
Enumeration date
08/28/2006
Last updated
07/08/2007
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