Healthcare Provider Details

I. General information

NPI: 1730198524
Provider Name (Legal Business Name): KATHY ANN OLBERDING M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

IV. Provider business mailing address

606 S HWS CLEVELAND BLVD
ELKHORN NE
68022-4460
US

V. Phone/Fax

Practice location:
  • Phone: 402-346-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number134
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: