Provider Demographics
NPI:1699272930
Name:BORGHOFF, KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:BORGHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4400 EMILE STREET
Mailing Address - Street 2:983040 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198
Mailing Address - Country:US
Mailing Address - Phone:402-559-9227
Mailing Address - Fax:402-559-9504
Practice Address - Street 1:4400 EMILE STREET
Practice Address - Street 2:983040 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198
Practice Address - Country:US
Practice Address - Phone:402-559-9227
Practice Address - Fax:402-559-9504
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE35543207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1252874OtherCONTROLLED SUBSTANCE
IAMD-51502OtherIOWA STATE LICENSE