| Katie Gue-rhee Kim, DO | |
|
20021 Manderson St, Elkhorn, NE 68022-3233 | |
| (402) 815-6600 | |
| (402) 815-6605 |
| Full Name | Katie Gue-rhee Kim |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 20021 Manderson St, Elkhorn, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790354611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 208000000X (Nebraska) | Secondary |
| 208000000X | Pediatrics | 2780 (Nebraska) | Primary |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Gue-rhee Kim, DO Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Katie Gue-rhee Kim, DO 20021 Manderson St, Elkhorn, NE 68022-3233 Ph: (402) 815-6600 |
Mrs. Jennifer Ann Davey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke St, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 | |
Dr. Kurt A Davey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Kimberly Deanne Christner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 Fax: 402-614-2314 | |
Ms. Mary C Dek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18018 Burke Street, Elkhorn, NE 68022 Phone: 402-573-7337 | |
Jennifer Catherine Reiser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 717 N 190th Plz, Elkhorn, NE 68022 Phone: 402-815-1325 Fax: 402-815-1965 | |
Hayley Mignonne Timm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20011 Manderson St, Elkhorn, NE 68022 Phone: 402-955-7840 | |
Sterling Garnell Blackham, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 717 N 190th Plz Ste 3100, Elkhorn, NE 68022 Phone: 402-815-1325 Fax: 402-815-2020 |