person
Kevin Gary Loontjer, MPASPA-C
Surgical Physician Assistant in Fremont, Nebraska
NPI 1710125919

Kevin Gary Loontjer is a Surgical Physician Assistant based in Fremont, NE and is specialized in Surgical. Kevin Gary Loontjer practices in Fremont, NE and has the professional credentials of MPASPA-C. The NPI Number for Kevin Gary Loontjer is 1710125919 and holds a License No. 1419 (Nebraska).

The current practice location address for Kevin Gary Loontjer is 2740 N Clarkson St, Fremont, NE and can be reached out via phone at 402-721-0090 and via fax at 402-721-9661. You can also correspond with Kevin Gary Loontjer through the mailing address at 2740 N CLARKSON ST, FREMONT, NE - 68025-7716 (mailing address contact number: 402-721-0090).

Location: 2740 N Clarkson St, Fremont, NE, 68025-7716
person
Provider Profile Details
NPI Number
1710125919
Provider Name
Kevin Gary Loontjer
Credential
MPASPA-C
Provider Entity Type
Individual
Gender
Male
Address
2740 N Clarkson St, Fremont, NE, 68025-7716
Phone Number
402-721-0090
Fax Number
402-721-9661
Provider Enumeration Date
01/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47081915413 05 NE
institution
Provider Business Practice Location Address Details
Address
2740 N Clarkson St
City
State
Zip
68025-7716
Phone Number
402-721-0090
Fax Number
402-721-9661
person
Provider Business Mailing Address Details
Address
2740 N Clarkson St
City
State
Zip
68025-7716
Phone Number
402-721-0090
Fax Number
402-721-9661
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1419 (Nebraska)
Definition
Definition to come...
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