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Individual

MR. STEVEN DALE KINKEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA CCC SLP

Contact information

Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-1919
Mailing address
723 S 56TH ST, OMAHA, NE 68106-1320
(402) 334-6017

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
414
NE

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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