Individual
KATHLEEN ELLEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 W 24TH ST, KEARNEY, NE 68845-5345
(308) 698-8040
Mailing address
320 W 24TH ST, KEARNEY, NE 68845-5331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16315
NE
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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