Organization
KAY E TICEN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ANN DELP (BUSINESS MANAGER)
(402) 392-1278
Entity
Organization
Contact information
Practice address
6818 GROVER ST STE 201, OMAHA, NE 68106-3632
(402) 392-1278
(402) 392-1291
Mailing address
6818 GROVER ST STE 201, OMAHA, NE 68106-3632
(402) 392-1278
(402) 392-1291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12608
NE
208D00000X
General Practice Physician
12608
NE
Other
Enumeration date
11/10/2007
Last updated
06/17/2008
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