Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 32680 | NE |
NPI | 1174849046 |
---|---|
Provider Name | Kathy Ann Schall |
First Address | Omaha, NE 68131-2136 |
Second Address | Boys Town, NE 68010-7513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 27/10/2020 |