Individual
DR. SAMANTHA ELYSE KENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3308 SAMSON WAY STE 106, BELLEVUE, NE 68123-3235
(402) 291-5076
Mailing address
1710 S 58TH ST, OMAHA, NE 68106-2224
(402) 490-7859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15383
NE
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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