Individual
KENNETH PAUL STUTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 S 172ND ST, OMAHA, NE 68130-1111
(402) 650-7382
Mailing address
1505 S 172ND ST, OMAHA, NE 68130-1111
(402) 650-7382
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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