Individual
JO DE MARIE KINNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
123 N MARIAN RD, HASTINGS, NE 68901-4673
(402) 462-4187
(402) 462-4568
Mailing address
123 N MARIAN RD, HASTINGS, NE 68901-4673
(402) 462-4187
(402) 462-4568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
43973
NE
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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