Individual
KAITLYN ELIZABETH PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
(402) 465-2519
Mailing address
5050 R ST APT 1206, LINCOLN, NE 68504-4002
(218) 838-5308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
716
NE
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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