Individual provider · Type 1 NPI

Katherine Brodahl, PA C

Medical Physician Assistant · Omaha, NE

NPI number 1336509959 Active

Practice location

7831 Chicago Ct
Omaha, NE 68114-3654

Fax (402) 354-1235

Mailing address

PO Box 3755
Omaha, NE 68103-0755

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2000 (NE)
Medical Physician Assistant Primary 363AM0700X2000 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1336509959

Katherine Brodahl, PA C's National Provider Identifier is 1336509959, issued on Feb 24, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Omaha, NE. The record was last updated on Oct 13, 2025.