KEVIN G LOONTJER, MPAS PA-C, Surgical FREMONT, NE

Contact Information

KEVIN G LOONTJER, MPAS PA-C

2740 N CLARKSON ST
FREMONT, NE 68025-7716

Phone: 402-721-0090
Fax: 402-721-9661
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for KEVIN G LOONTJER · (Male)

NPI Number	`1710125919`
Status	Active
Credentials	MPAS PA-C
Entity	Individual
Enumeration date	01/26/2009
Last updated	04/08/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	NE License # 1419 NE Medicaid 47081915413
Hospital affiliation(s)	ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER - (Acute Care) 7500 MERCY RD OMAHA, NE 68124 ALEGENT HEALTH IMMANUEL MEDICAL CENTER - (Acute Care) 6901 NORTH 72ND ST OMAHA, NE 68122 ALEGENT HEALTH LAKESIDE HOSPITAL - (Acute Care) 16901 LAKESIDE HILLS CT OMAHA, NE 68130 ALEGENT HEALTH MERCY HOSPITAL - (Acute Care) 800 MERCY DRIVE COUNCIL BLUFFS, IA 51503 ALEGENT HEALTH MIDLANDS HOSPITAL - (Acute Care) 11111 SOUTH 84TH ST PAPILLION, NE 68046

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KEVIN G LOONTJER, MPAS PA-C – NPI #1710125919Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for KEVIN G LOONTJER · (Male)

Reviews for KEVIN G LOONTJER

KEVIN G LOONTJER, MPAS PA-C – NPI #1710125919
Surgical