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108 West Evans St Spencer NE 68777-0269 | |
(402) 589-1580 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 108 West Evans St, Spencer, Nebraska |
Authorized Official Name and Position | Kelly Kalkowski (ADMINISTRATOR & CEO) |
Authorized Official Contact | 4025692451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 118 Lynch NE 68746-0118 Ph: (402) 569-2451 | 108 West Evans St Spencer NE 68777-0269 Ph: (402) 589-1580 |
NPI Number | 1467520270 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 05/02/2024 |
Identifier | Type | State | Issuer |
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1467520270 | NPI | - | NPPES |
========= | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Nebraska) | Primary |