Individual
JOSIE L KENNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W WILLIAM AVE, NORTH PLATTE, NE 69101-0026
(308) 289-3574
Mailing address
810 COBBLER LN, SUTHERLAND, NE 69165-7278
(308) 289-3574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
01/12/2024
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