Healthcare Provider Details

I. General information

NPI: 1457989527
Provider Name (Legal Business Name): KATE KOLLARS MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W DODGE RD
OMAHA NE
68114-3327
US

IV. Provider business mailing address

PO BOX 3755
OMAHA NE
68103-0755
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-8990
  • Fax: 402-354-8995
Mailing address:
  • Phone: 402-354-2100
  • Fax: 402-354-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35640
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: