Individual
KYLEE LIENEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 22ND AVE, KEARNEY, NE 68845-2234
(308) 865-2263
Mailing address
4406 SUNSET TRL, KEARNEY, NE 68845-2364
(308) 529-1922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84304
NE
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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