Individual
KATHRYN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
5115 N 138TH ST, OMAHA, NE 68164-6055
(402) 981-7852
Mailing address
5115 N 138TH ST, OMAHA, NE 68164-6055
(402) 981-7852
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69457794
—
NE
Enumeration date
09/06/2021
Last updated
09/06/2021
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