Individual
KENDRA D DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4214 38TH ST, COLUMBUS, NE 68601-1616
(402) 564-1338
(402) 564-8902
Mailing address
PO BOX 1394, COLUMBUS, NE 68602-1394
(402) 564-1338
(402) 564-8902
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111673
NE
363LG0600X
Gerontology Nurse Practitioner
111673
NE
Other
Enumeration date
07/18/2014
Last updated
09/23/2014
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