Individual
KATIE KINTZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64984
NE
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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