Individual
KASSIDY JEAN JELINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 N BELLE ST, ATKINSON, NE 68713-4553
(402) 340-8355
Mailing address
406 N BELLE ST, ATKINSON, NE 68713-4553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2022
Last updated
01/17/2024
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