Kelly John Caverzagie MD

NPI 1033158084 - Internal Medicine - 207R00000X

NPI Details
NPI 1033158084
Gender Male
Enumeration Date 06/05/2006
Last Updated 10/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
988102 NEBRASKA MEDICAL CENTER
OMAHA NE, 68198-8102, US
Phone (402) 595-3939
Fax (402) 595-3898
Business Location
988102 NEBRASKA MEDICAL CENTER
OMAHA NE, 68198-8102, US
Phone (402) 595-3939
Fax (402) 595-3898
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD426638
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According to our database, Kelly John Caverzagie MD NPI is 1033158084, taxonomy code is 207R00000X and license number is MD426638, license state is located at Pennsylvania. Kelly John Caverzagie MD physically located at 988102 Nebraska Medical Center, Omaha NE, 68198-8102. NPI Number Kelly John Caverzagie MD has the Individual type.

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1033158084 NPI number is provided on an as is basis without warranty of any kind. 1033158084 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly John Caverzagie MD are for informational purposes only.