| Organization Name: | KAY E TICEN MD |
| NPI Number: | 1801076559 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET ANN DELP (BUSINESS MANAGER) |
| Mailing Address: | 6818 Grover St Ste 201 Omaha |
| State: | NE US |
| Postal Code: | 681063632 |
| Phone Number: | 4023921278 |
| Fax Number: | 4023921291 |
| NPI Enumeration Date: | 11/10/2007 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12608 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |