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NPI Code Detail

MEDICARE: KELSI JUNGE

MEDICARE: KELSI JUNGE
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
1183500000XPharmacist17125NE

General Provider Information

NPI Number : 1427767029
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSI JUNGE
Provider Business Mailing Address
First Line : 1000 S 178TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68118-3542
Country : US
Telephone Number : 402-334-4922
Fax Number :
Provider Business Practice Location Address
First Line : 1000 S 178TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68118-3542
Country : US
Telephone Number : 402-334-4922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2022
Last Update Date : 11/22/2022

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Directions to “ KELSI JUNGE ” Practice Location

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