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NPI Code Detail

MEDICARE: JOSEPH JOHN KOLL

MEDICARE:   JOSEPH JOHN KOLL
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1841004413
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH JOHN KOLL
Provider Business Mailing Address
First Line : 7075 SPENCER ST
Second Line :
City : OMAHA
State : NE
Zip : 68104-3140
Country : US
Telephone Number : 402-681-3177
Fax Number :
Provider Business Practice Location Address
First Line : 1941 S 42ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68105-2939
Country : US
Telephone Number : 402-346-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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Directions to “ JOSEPH JOHN KOLL ” Practice Location

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