Individual
KAYLA HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3740 N 27TH ST STE 1, LINCOLN, NE 68521-4162
(402) 423-0396
Mailing address
1900 S 45TH ST, LINCOLN, NE 68506-1205
(913) 669-9369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113059
NE
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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