Provider Demographics
NPI:1821978982
Name:PAW, MU KLA
Entity type:Individual
Prefix:
First Name:MU
Middle Name:KLA
Last Name:PAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2727
Mailing Address - Country:US
Mailing Address - Phone:402-356-6706
Mailing Address - Fax:
Practice Address - Street 1:4326 N 56TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2727
Practice Address - Country:US
Practice Address - Phone:402-356-6706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant