Individual
KEVIN M LOECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1004 N HARRISON ST, ONEILL, NE 68763-2240
(402) 336-3469
Mailing address
1004 N HARRISON ST, ONEILL, NE 68763-2240
(402) 336-3469
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100845
NE
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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