Individual
KATIE KROENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 MAIN ST, WAYNE, NE 68787-1923
(402) 375-7310
Mailing address
111 MAIN ST, WAYNE, NE 68787
(402) 375-7310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
820
NE
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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