Organization
SURGICAL SERVICES OF THE GREAT PLAINS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY K KINGSTON M.D. (M.D./PRESIDENT)
(402) 552-2222
Entity
Organization
Contact information
Practice address
4242 FARNAM ST, #355, OMAHA, NE 68131-2806
(402) 552-2222
(402) 552-9710
Mailing address
4242 FARNAM ST, #355, OMAHA, NE 68131-2806
(402) 552-2222
(402) 552-9710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
04/20/2008
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