Individual
SHANNON L KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 475-1011
(402) 481-4783
Mailing address
3200 PINE LAKE RD, SUITE A, LINCOLN, NE 68516-6035
(402) 421-1811
(402) 421-1833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
48629
NE
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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