Individual
BREANNE KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-1111
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-1111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3007
NE
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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