Individual
MR. KEVIN P REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11704 W CENTER RD, SUITE 210, OMAHA, NE 68144-4375
(402) 330-2727
Mailing address
11704 W CENTER RD, SUITE 210, OMAHA, NE 68144-4375
(402) 330-2727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16148
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110219831
TRAVELERS RR MEDICARE
NE
05
—
47083900200
—
NE
Enumeration date
08/24/2006
Last updated
08/07/2008
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