Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephen J Kinderknecht, PA-C

Individual provider Physician Assistant · NPI 1477955789

Stephen J Kinderknecht, PA-C is a Physician Assistant in Omaha, Nebraska. Licensed in Iowa and Nebraska. Registered with an NPI since 2014.

Licensed in
IA, NE
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1848 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 074862 (IA)

Record details

NPI number1477955789
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 17, 2014

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