Healthcare Provider Details
I. General information
NPI: 1114224953
Provider Name (Legal Business Name): KATHERINE M. GAMERL AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/14/2011
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
605 IRON HORSE DR STE 2
NORFOLK NE
68701-5891
US
IV. Provider business mailing address
605 IRON HORSE DR STE 2
NORFOLK NE
68701-5891
US
V. Phone/Fax
- Phone: 402-371-2724
- Fax: 402-383-1895
- Phone: 402-371-2724
- Fax: 402-383-1895
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 025 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: