Individual
MR. KRISTOPHER ROBERT WIDGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1923 SYLVAN ST, GRAND ISLAND, NE 68801-7167
(308) 930-0286
Mailing address
1923 SYLVAN ST, GRAND ISLAND, NE 68801-7167
(308) 930-0286
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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