Blad, Kenneth L

Blad, Kenneth L is an individual health care provider with primary practice located at 2727 S 144Th St #280, Omaha NE 68144-5225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blad, Kenneth L can be contacted via phone (402) 778-5490.

Contact Information

Primary practice address
2727 S 144Th St #280 Omaha NE 68144-5225
Fax: (402) 614-1404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21848 Nebraska

Profile Details

NPI number 1285609685
LBN Legal business name Blad, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated May 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285609685 NPPES
Nebraska MEDICAID 10024982500

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