Individual
MARY KAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
625 S 70TH ST, LINCOLN, NE 68510-2404
(402) 484-6600
(402) 484-6610
Mailing address
PO BOX 6971, LINCOLN, NE 68506-0971
(402) 486-7029
(402) 434-0736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025104200
—
NE
Enumeration date
08/18/2006
Last updated
04/14/2009
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