| The Family Doc, LLC | |
|
2211 Capehart Rd Ste 103 Bellevue NE 68123-2121 | |
| (402) 933-4111 | |
| (402) 934-4111 |
| Full Name | The Family Doc, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2211 Capehart Rd Ste 103, Bellevue, Nebraska |
| Authorized Official Name and Position | Kelly DG Collins (PHYSICIAN) |
| Authorized Official Contact | 4029334111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Doc, LLC 2211 Capehart Rd Ste 103 Bellevue NE 68123-2121 Ph: (402) 933-4111 | The Family Doc, LLC 2211 Capehart Rd Ste 103 Bellevue NE 68123-2121 Ph: (402) 933-4111 |
| NPI Number | 1073744694 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 07/30/2009 |
| Medicare PECOS PAC ID | 4880732544 |
|---|---|
| Medicare Enrollment ID | O20091117000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073744694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nebraska) | Primary |
| Provider Name | Kelly DG Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972555258 PECOS PAC ID: 1254479918 Enrollment ID: I20091117000676 |
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