Provider Demographics
NPI:1407881048
Name:HAJJ, KATHRYN M (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:M
Last Name:HAJJ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:STE 112
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5576
Mailing Address - Country:US
Mailing Address - Phone:402-488-4861
Mailing Address - Fax:402-488-4864
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:STE 112
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5576
Practice Address - Country:US
Practice Address - Phone:402-488-4861
Practice Address - Fax:402-488-4864
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-10-28
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Provider Licenses
StateLicense IDTaxonomies
NE20252207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407881048OtherNPI (INDIVIDUAL NUMBER)
1215258421OtherNPI (GROUP NUMBER)
1407881048OtherNPI (INDIVIDUAL NUMBER)