Individual
KESIA JENA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 N 56TH ST, OMAHA, NE 68104-2832
(402) 471-9389
Mailing address
4102 N 56TH ST, OMAHA, NE 68104-2832
(402) 471-9389
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13095886
NE
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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