Individual
MRS. NICHOLE C KINNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3901 PINE LAKE RD STE 211, LINCOLN, NE 68516-5497
(402) 423-4200
Mailing address
3901 PINE LAKE RD STE 211, LINCOLN, NE 68516-5497
(402) 423-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111837
NE
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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