Individual
MS. KENYONNA MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4231 VERNON AVE, OMAHA, NE 68111-1059
(402) 568-0252
Mailing address
3924 N 90TH ST # NE68134, OMAHA, NE 68134-4133
(402) 810-1930
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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