Healthcare Provider Details

I. General information

NPI: 1487572798
Provider Name (Legal Business Name): SOPHIE KALKWARF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY ROAD SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA NE
68124
US

IV. Provider business mailing address

7710 MERCY ROAD SUITE 202, CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
OMAHA NE
68124
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-4438
  • Fax:
Mailing address:
  • Phone:
  • Fax: 402-280-4438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number10649
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: