Individual
MRS. JACLYN E KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5890
Mailing address
1832 N 75TH AVE, OMAHA, NE 68114-1665
(402) 800-7864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112938
NE
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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