Organization
KIDWISE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SCHNECKLOTH (BILLING SPECIALIST)
(402) 504-4680
Entity
Organization
Contact information
Practice address
8101 O ST STE 214, LINCOLN, NE 68510-2647
(402) 488-1032
(402) 484-8545
Mailing address
8101 O ST STE 214, LINCOLN, NE 68510-2647
(402) 488-1032
(402) 484-8545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1174
NE
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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