Healthcare Provider Details

I. General information

NPI: 1487457206
Provider Name (Legal Business Name): K2 MEDICAL CLINICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 S 86TH ST STE B
LINCOLN NE
68526-9252
US

IV. Provider business mailing address

4546 S 86TH ST STE B
LINCOLN NE
68526-9252
US

V. Phone/Fax

Practice location:
  • Phone: 402-770-3110
  • Fax:
Mailing address:
  • Phone: 402-770-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JASON DEAN HOWE
Title or Position: OWNER/ CEO
Credential: PA
Phone: 402-770-3110