Organization
KEARNEY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY KAY DOBISH MBA (ADMINISTRATOR)
(308) 865-2141
Entity
Organization
Contact information
Practice address
211 W 33 ST, KEARNEY, NE 68845-3456
(308) 865-2141
(308) 234-7582
Mailing address
211 W 33 ST, KEARNEY, NE 68845-3456
(308) 865-2141
(308) 234-7582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097467
MEDICARE
—
Enumeration date
01/20/2017
Last updated
01/20/2017
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