# T&K AESTHETICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952157968
- **Authorized official:** KATIEVIA Q RUSH-WILKS NP (APRN/CO-OWNER)
- **Authorized official phone:** (402) 219-4633

## Contact information

- **Practice address:** 1265 S COTNER BLVD STE 41D, LINCOLN, NE 68510-4975
- **Practice address phone:** (402) 219-4633
- **Practice address fax:** (531) 248-4666
- **Mailing address:** 1265 S COTNER BLVD STE 41, LINCOLN, NE 68510-4924
- **Mailing address phone:** (402) 219-4633
- **Mailing address fax:** (531) 248-4666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 04/29/2024