Individual
KENNETH C TMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
7101 NEWPORT AVE STE 207, OMAHA, NE 68152-2153
(402) 609-6350
Mailing address
7101 NEWPORT AVE STE 207, OMAHA, NE 68152-2153
(402) 609-6350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
05/28/2025
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