Individual
NICHOLAS KRESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 PARKWOOD LN, OMAHA, NE 68132-1928
(402) 490-6079
Mailing address
727 PARKWOOD LN, OMAHA, NE 68132-1928
(402) 490-6079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060086180
MEDICA
NE
Enumeration date
01/31/2023
Last updated
01/31/2023
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