Individual
MRS. MELISSA ANN KUDLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7002 O ST, LINCOLN, NE 68510-2425
(866) 389-2727
(402) 489-9541
Mailing address
7002 O ST, LINCOLN, NE 68510-2425
(866) 389-2727
(402) 489-9541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1663
NE
363AM0700X
Medical Physician Assistant
1663
NE
Other
Enumeration date
06/20/2012
Last updated
07/13/2016
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