Individual
KI-AEJA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 EVANS ST, OMAHA, NE 68111-2905
(531) 289-4511
Mailing address
2405 EVANS ST, OMAHA, NE 68111-2905
(531) 289-4511
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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