Individual
TERRYL ANNE KENGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14113 S 21ST ST, BELLEVUE, NE 68123-4739
(402) 651-1523
Mailing address
14113 S 21ST ST, BELLEVUE, NE 68123-4739
(402) 651-1523
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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