Healthcare Provider Details

I. General information

NPI: 1336197722
Provider Name (Legal Business Name): KATHERINE A HARRISON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988095 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8095
US

IV. Provider business mailing address

988095 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8095
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-9800
  • Fax: 402-559-9840
Mailing address:
  • Phone: 402-559-9800
  • Fax: 402-559-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18110
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number18110
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: