Individual
HEATH KENNETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 N BIRCH ST, WAHOO, NE 68066-1125
(402) 443-3678
Mailing address
2610 W M CT, LINCOLN, NE 68522-1006
(402) 325-8555
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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