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Individual

MRS. KELLY JEAN BONIFAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1090 S ADAMS CENTRAL AVE, HASTINGS, NE 68901-7458
(402) 463-3285
(402) 462-6344
Mailing address
1090 S ADAMS CENTRAL AVE, HASTINGS, NE 68901-7458
(402) 463-3285
(402) 463-6344

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64460
NE

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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