Individual
KENYATA N DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 S 84TH ST STE 4, LA VISTA, NE 68128-2116
(402) 201-3268
(402) 991-3177
Mailing address
7200 S 84TH ST STE 4, LA VISTA, NE 68128-2116
(402) 201-3268
(402) 991-3177
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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