Individual
KAITLYNN VAN DERSLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 S 70TH ST, LINCOLN, NE 68506-2971
(402) 216-8026
Mailing address
2620 S 70TH ST APT 105, LINCOLN, NE 68506-2916
(402) 216-8026
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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