Individual
KATHLEEN A OBRIEN-AUSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15410 WEIR ST, OMAHA, NE 68137-5045
(402) 933-7100
(402) 932-7661
Mailing address
6009 N 146TH AVE, OMAHA, NE 68116-4320
(402) 827-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6348
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05585
BLUE CROSS BLUE SHIELD
NE
05
—
10025331700
—
NE
01
—
1394976
UNITED CONCORDIA
NE
Enumeration date
04/27/2006
Last updated
07/08/2007
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