Healthcare Provider Details

I. General information

NPI: 1558164194
Provider Name (Legal Business Name): DHAN KUON GATKEK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2025
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 N 24TH ST APT 901
OMAHA NE
68110-1862
US

IV. Provider business mailing address

3600 N 24TH ST APT 901
OMAHA NE
68110-1862
US

V. Phone/Fax

Practice location:
  • Phone: 402-983-1797
  • Fax: 402-983-1797
Mailing address:
  • Phone: 402-983-1797
  • Fax: 402-983-1797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: