Individual
BROOKE ASHLEIGH HUXOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3219 CENTRAL AVE, KEARNEY, NE 68847-2949
(308) 865-2808
(308) 865-2541
Mailing address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1417
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417
STATE LICENSE
NE
Enumeration date
01/22/2009
Last updated
03/12/2019
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