Individual
HANH NGUYEN KEBLESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2429 M ST, OMAHA, NE 68107-2715
(402) 731-7333
Mailing address
3408 N 161ST AVE, OMAHA, NE 68116-6429
(402) 541-4378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1159372
NE
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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