Kevin Gary Loontjer MPAS PA-C

NPI 1710125919 - Physician Assistant - 363AS0400X

NPI Details
NPI 1710125919
Gender Male
Enumeration Date 01/26/2009
Last Updated 04/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2740 N CLARKSON ST
FREMONT NE, 68025-7716, US
Phone (402) 721-0090
Fax (402) 721-9661
Business Location
2740 N CLARKSON ST
FREMONT NE, 68025-7716, US
Phone (402) 721-0090
Fax (402) 721-9661
Toxanomy
Taxonomy Code 363AS0400X
License State Nebraska
License Number 1419
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According to our database, Kevin Gary Loontjer MPAS PA-C NPI is 1710125919, taxonomy code is 363AS0400X and license number is 1419, license state is located at Nebraska. Kevin Gary Loontjer MPAS PA-C physically located at 2740 N Clarkson St, Fremont NE, 68025-7716. NPI Number Kevin Gary Loontjer MPAS PA-C has the Individual type.

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1710125919 NPI number is provided on an as is basis without warranty of any kind. 1710125919 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Gary Loontjer MPAS PA-C are for informational purposes only.