Individual
KENDRA K BEVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1616 URBANA LN, LINCOLN, NE 68505-1573
(402) 730-1882
Mailing address
1616 URBANA LANE, LINCOLN, NE 68505
(402) 730-1882
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
70876
NE
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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