Individual
KAYLAN WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VIRGINIA DRIVE, GRAND ISLAND, NE 68803-6880
(402) 669-3905
Mailing address
1801 VIRGINIA DR, GRAND ISLAND, NE 68803-5030
(402) 669-3905
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376K00000X
Nurse's Aide
139853
NE
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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