Individual
DR. JOEL ROBERT ATCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3712 28TH AVENUE, KEARNEY, NE 68845
(308) 865-2737
(308) 865-6098
Mailing address
816 22ND AVE SUITE 100, KEARNEY, NE 68845-2226
(308) 865-2263
(308) 865-6046
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
20766
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00333
BLUE CROSS OF NE ID
NE
05
—
47081401200
—
NE
Enumeration date
09/20/2006
Last updated
12/22/2015
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