Provider Demographics
NPI:1659138972
Name:KAVAN, FRANKIE DENISE
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:DENISE
Last Name:KAVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:COLON
Mailing Address - State:NE
Mailing Address - Zip Code:68018-4042
Mailing Address - Country:US
Mailing Address - Phone:402-443-2698
Mailing Address - Fax:
Practice Address - Street 1:8630 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1639
Practice Address - Country:US
Practice Address - Phone:402-898-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115224363LF0000X
NE11224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily