Individual
MRS. KAILYN SUE PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
908 N HOWARD AVE STE 108, GRAND ISLAND, NE 68803-3529
(308) 381-2225
Mailing address
4233 SPRINGVIEW DR, GRAND ISLAND, NE 68803-6513
(308) 382-7574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10687
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14170758350
—
NE
Enumeration date
11/06/2006
Last updated
07/08/2007
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