MEDICARE: MU KET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider		NE

General Provider Information

NPI Number	:	1063212538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MU KET

Provider Business Mailing Address
First Line	:	2863 MANDERSON ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-2980
Country	:	US
Telephone Number	:	402-415-6165
Fax Number	:

Provider Business Practice Location Address
First Line	:	2863 MANDERSON ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-2980
Country	:	US
Telephone Number	:	402-415-6165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

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Directions to “ MU KET ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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