Individual
KATELYN ANN NIKSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
3616 S 89TH ST, OMAHA, NE 68124-3932
(402) 714-3920
Mailing address
12708 AMES PLZ APT 303, OMAHA, NE 68164-6934
(402) 981-4369
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
H14074001
NE
Other
Enumeration date
06/09/2025
Last updated
06/18/2025
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