NPI 1477350932

Kenneth Clarence Funte

Practitioner Driver Omaha, NE

Practice location

Address: 7197 Pine St, Omaha, NE 68106-2811
Phone: (402) 556-1883

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence G01310528 (NE)

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Registry record

NPI: 1477350932
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.