Kocovsky, Diane Lynn

Kocovsky, Diane Lynn is an individual health care provider with primary practice located at 14080 Hospital Rd , Boys Town NE 68010-7513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kocovsky, Diane Lynn can be contacted via phone (402) 778-6900.

Contact Information

Primary practice address
14080 Hospital Rd Boys Town NE 68010-7513
Fax: (402) 778-6917
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 110623 Nebraska

Profile Details

NPI number 1669537056
LBN Legal business name Kocovsky, Diane Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Feb 14th, 2013 - 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 1669537056 NPPES
Nebraska MEDICAID 100253323-00
Nebraska Other 38843

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