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NPI Code Detail

MEDICARE: KEVIN HARM APRN

MEDICARE: KEVIN HARM APRN
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
1363L00000XNurse Practitioner110386NE
2363LF0000XFamily Nurse Practitioner110386NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
337416OTHERNEBCBS

General Provider Information

NPI Number : 1922025790
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN HARM APRN
Provider Business Mailing Address
First Line : 4321 41ST AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2131
Country : US
Telephone Number : 402-562-7500
Fax Number : 402-564-0611
Provider Business Practice Location Address
First Line : 3775 45TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4427
Country : US
Telephone Number : 402-564-7200
Fax Number : 402-564-7210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 10/18/2023

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1568780732 — DR. KENNETH DOUGLAS SHAMLIAN PSYD, BCBA-D
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1578813689 — CHRISTI ANN MASTNY APRN
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