Individual
TARA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
987400 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1017
(402) 559-7592
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112318
NE
363LA2100X
Acute Care Nurse Practitioner
2000
NE
Other
Enumeration date
07/31/2017
Last updated
10/12/2017
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