Individual
CRYSTAL KENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5801 N 33RD ST, LINCOLN, NE 68504-4665
(402) 436-1378
Mailing address
5801 N 33RD ST, LINCOLN, NE 68504-4665
(402) 436-1378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23445
NE
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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