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Individual

MISS BRENTLEY LAVONNE MCKEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
243 INGRAM AVE, ASHTON, NE 68817-2700
(308) 455-0923
Mailing address
326 W 21ST ST APT 2, KEARNEY, NE 68845-5279

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
NE
3747A0650X
Attendant Care Provider
NE
3747P1801X
Personal Care Attendant
NE
385H00000X
Respite Care
Primary
NE

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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