Zoucha, Kenneth

Zoucha, Kenneth is an individual health care provider with primary practice located at 42Nd @ Dewey St , Omaha NE 68198-1023. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Zoucha, Kenneth can be contacted via phone (402) 552-6007.

Contact Information

Primary practice address
42Nd @ Dewey St Omaha NE 68198-1023
Phone: (402) 552-6007
Fax: (402) 552-6035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17958 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17958 Nebraska

Profile Details

NPI number 1033111570
LBN Legal business name Zoucha, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 5th, 2018 - about 6 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 1033111570 NPPES
Nebraska MEDICAID F76234
Nebraska Other 34122

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