Individual
EMILY R KEAN PUCCIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10707 PACIFIC ST, SUITE 101, OMAHA, NE 68114-4762
(402) 397-7989
(402) 393-7554
Mailing address
PO BOX 8577, OMAHA, NE 68108-0577
(402) 397-7989
(402) 397-8703
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22718
NE
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
22781
NE
208800000X
Urology Physician
22718
NE
208800000X
Urology Physician
Primary
22781
NE
Other
Enumeration date
05/23/2005
Last updated
03/15/2026
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