Individual
KRISTIN DE KONING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST, SUITE 328, OMAHA, NE 68105-2939
(402) 614-8444
Mailing address
1105 HARNEY ST, APT 307, OMAHA, NE 68102-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317600
—
NE
Enumeration date
01/09/2017
Last updated
01/09/2017
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