Individual
BLAKE SHAREENE KADAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
2537 S 36TH ST, LINCOLN, NE 68506-6630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86057
NE
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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