Individual
KIMBERLI DAWN PRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
420 W 21ST ST, KEARNEY, NE 68845-5237
(308) 390-9690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13325
NE
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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