Individual
JORDYN LYNN KOHTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
841 N 14TH ST, LINCOLN, NE 68588-1282
(402) 472-3467
Mailing address
1400 R ST, LINCOLN, NE 68588-0007
(402) 472-7211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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