Individual
DR. THUY T KOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-4180
Mailing address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-4180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6572
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6572
TEMPORARY EDUCATIONAL PERMIT
NE
Enumeration date
07/13/2011
Last updated
07/13/2011
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