Individual
DR. SARAH KATHRYN BROADHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
717 N 190TH PLZ, STE. 3100, ELKHORN, NE 68022-3913
(402) 815-1325
(402) 815-2020
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24633
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025837400
—
NE
05
—
10026480100
—
NE
05
—
1851507933
—
IA
05
—
47068731742
—
NE
Enumeration date
05/15/2007
Last updated
01/16/2020
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