Individual
DONALEE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10707 PACIFIC ST, SUITE 101, OMAHA, NE 68114-4762
(402) 397-7989
(402) 393-7554
Mailing address
PO BOX 8577, OMAHA, NE 68108-0577
(402) 397-7989
(402) 397-8703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110913
NE
363LW0102X
Women's Health Nurse Practitioner
52963
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110913
APRN
NE
01
—
52963
RN LICENSE
NE
01
—
F-125658
ARNP
IA
Enumeration date
09/27/2007
Last updated
03/27/2013
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