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NPI Code Detail

MEDICARE: TA KAW

MEDICARE: TA KAW
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1982555496
Entity Type Code : Individual
Provider Name (Legal Business Name) : TA KAW
Provider Business Mailing Address
First Line : 4911 N 64TH ST # NE68104
Second Line :
City : OMAHA
State : NE
Zip : 68104-1908
Country : US
Telephone Number : 531-495-7636
Fax Number :
Provider Business Practice Location Address
First Line : 2334 C ST APT 2
Second Line :
City : LINCOLN
State : NE
Zip : 68502-1750
Country : US
Telephone Number : 531-495-7636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ TA KAW ” Practice Location

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