Individual
DR. KENT ALLEN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
3620 N 6TH ST, BEATRICE, NE 68310-1141
(402) 228-4594
Mailing address
3620 N 6TH ST, BEATRICE, NE 68310-1141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10809
NE
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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