Provider Demographics
NPI:1346053469
Name:MU, KAW RAY
Entity type:Individual
Prefix:
First Name:KAW
Middle Name:RAY
Last Name:MU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 N 88TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-5244
Mailing Address - Country:US
Mailing Address - Phone:402-321-1933
Mailing Address - Fax:
Practice Address - Street 1:7406 N 88TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-5244
Practice Address - Country:US
Practice Address - Phone:402-321-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide