Individual
KELLY CAWCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-4015
(402) 559-5581
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28989
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52428
MN
207RI0200X
Infectious Disease Physician
Primary
28989
NE
207RI0200X
Infectious Disease Physician
52428
MN
Other
Enumeration date
07/14/2008
Last updated
02/10/2016
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