Individual
MAKENDRA MARIE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MAPLE ST, KENNARD, NE 68034-5193
(402) 870-2208
Mailing address
506 MAPLE ST, KENNARD, NE 68034-5193
(402) 870-2208
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376K00000X
Nurse's Aide
119515
NE
Other
Enumeration date
12/28/2020
Last updated
01/04/2021
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