Provider Demographics
NPI:1477868446
Name:MILKWORKS
Entity Type:Organization
Organization Name:MILKWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-423-6402
Mailing Address - Street 1:5930 S 58TH ST
Mailing Address - Street 2:SUITE W
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6402
Mailing Address - Country:US
Mailing Address - Phone:402-423-6402
Mailing Address - Fax:402-423-6422
Practice Address - Street 1:5930 S 58TH ST
Practice Address - Street 2:SUITE W
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6402
Practice Address - Country:US
Practice Address - Phone:402-423-6402
Practice Address - Fax:402-423-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies