Individual
KATHERINE ANN MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4496
(402) 955-3674
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4496
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30735
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2015
Last updated
07/07/2022
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