Individual
KYLA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 ADAMS ST, LINCOLN, NE 68507-2642
(830) 377-8843
Mailing address
6900 ADAMS ST, LINCOLN, NE 68507-2642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26280
NE
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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