Healthcare Provider Details

I. General information

NPI: 1326127291
Provider Name (Legal Business Name): JANE ANN KUGLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

9739 FIELDCREST DR
OMAHA NE
68114-4932
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-4304
  • Fax: 402-955-4300
Mailing address:
  • Phone: 402-397-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number17667
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number17667
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: