Individual
HEATHER L KANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1805 N 126TH CIR, OMAHA, NE 68154
(402) 315-0446
Mailing address
1805 N 126TH CIR, OMAHA, NE 68154-1213
(402) 315-0446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1389
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477700
—
NE
Enumeration date
06/01/2009
Last updated
04/15/2019
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