Individual
JENNA KNIEVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2163 COUNTY ROAD G, HOOPER, NE 68031-1259
(402) 654-3317
Mailing address
2163 COUNTY ROAD G, HOOPER, NE 68031-1259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013007192
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470523755
—
NE
Enumeration date
09/08/2016
Last updated
09/08/2016
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