Individual
KISIA BEBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12522 PHEASANT RUN CIR, PAPILLION, NE 68046-4005
(402) 609-0703
Mailing address
12522 PHEASANT RUN CIR, PAPILLION, NE 68046-4005
(402) 609-0703
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
168973
NE
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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