Organization
THE NEBRASKA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FAIRBANKS PSY.D. (CLINICAL PSYCHOLOGIST)
(402) 559-5031
Entity
Organization
Contact information
Practice address
984185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4185
(402) 559-5031
(402) 559-9592
Mailing address
13737 W LAKEVIEW RD, RAYMOND, NE 68428-9500
(214) 783-4973
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
911858433
NE
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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