Individual
LEAANN KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 N MAPLE ST, NORTH PLATTE, NE 69101-2949
(928) 660-0147
Mailing address
1015 N MAPLE ST, NORTH PLATTE, NE 69101-2949
(928) 660-0147
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
$$$$$$$$$
KS
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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