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NPI Code Detail

MEDICARE: KAREN M HIGGINS MD

MEDICARE: KAREN M HIGGINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician14708NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114927175
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M HIGGINS MD
Provider Business Mailing Address
First Line : PO BOX 550
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68802-0550
Country : US
Telephone Number : 308-382-1100
Fax Number : 308-385-0796
Provider Business Practice Location Address
First Line : 2444 W FAIDLEY AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-4327
Country : US
Telephone Number : 308-382-1100
Fax Number : 308-385-0796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 09/10/2021

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