Kevin P Reagan Mdpc in Omaha - Internal Medicine
Kevin P Reagan Mdpc - NPI 1679768899
Kevin P Reagan Mdpc is a Internal Medicine in Omaha, Nebraska. Kevin P Reagan Mdpc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin P Reagan Mdpc is 1679768899. The last update date is 2008-08-07.
Kevin P Reagan Mdpc's current location address is 11704 W Center Rd Ste 210, Omaha, Nebraska. You can contact this provider via phone number 4023343377 and fax number 4026919922. The mailing address for Kevin P Reagan Mdpc is 11704 W Center Rd Ste 210, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin P Reagan Mdpc |
|---|---|
| Address | 11704 W Center Rd Ste 210, Omaha, Nebraska |
| Phone Number | 4023343377 |
| Fax Number | 4026919922 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Derouchey Mary |
| Telephone Number | 4023300444 |
NPI Number Detail
| NPI Number | 1679768899 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 11704 W Center Rd Ste 210 |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681444327 |
| Phone Number | 4023343377 |
| Fax Number | 4026919922 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 16148 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020800 | IA | -- | |
| 110219831 | NE | TRAVELERS RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin P Reagan Mdpc by the Centers for Medicare & Medicaid Services?
The Kevin P Reagan Mdpc has been assigned the NPI (National Provider Identifier) 1679768899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kevin P Reagan Mdpc is physically located?
The Kevin P Reagan Mdpc is situated at the following address: 11704 W Center Rd Ste 210, Omaha, NE 681444327.
What is the area of specialization for Kevin P Reagan Mdpc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin P Reagan Mdpc is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Kevin P Reagan Mdpc receive the assignment of its 1679768899 from the Centers for Medicare & Medicaid Services?
The Kevin P Reagan Mdpc was issued its 1679768899 by the Centers for Medicare & Medicaid Services on 2007-09-11.
As of what date were the Kevin P Reagan Mdpc's details last updated?
The information pertaining to the Kevin P Reagan Mdpc, including its address, specialty, and other details, was most recently updated on 2008-08-07.
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