Individual
KATHLEEN ANN HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2420 S 73RD ST, OMAHA, NE 68124-2396
(402) 397-7998
(402) 397-3090
Mailing address
2420 S 73RD ST, OMAHA, NE 68124-2396
(402) 397-7998
(402) 397-3090
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
01-2158884
NE
Other
Enumeration date
04/02/2008
Last updated
04/30/2008
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