Individual
JACOB LEE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD, LMNT
Contact information
Practice address
1220 S 48TH ST, LINCOLN, NE 68510-4814
(402) 417-6302
Mailing address
1220 S 48TH ST, LINCOLN, NE 68510-4814
(402) 417-6302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86326733
NE
Other
Enumeration date
04/24/2023
Last updated
05/21/2023
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