Individual
KASSIDY BRUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
361 N 46TH ST APT 3117, OMAHA, NE 68132-3271
(605) 323-7011
Mailing address
361 N 46TH ST APT 3117, OMAHA, NE 68132-3271
(605) 323-7011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2893
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2022
Last updated
08/14/2023
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