Individual
KAITLYN BERANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
816 22ND AVE SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Mailing address
816 22ND AVE SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1746
NE
Other
Enumeration date
06/18/2013
Last updated
09/22/2015
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