Individual
KESSY LEE HERGENRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC, LAT
Contact information
Practice address
841 N 14TH ST, LINCOLN, NE 68588-1282
(402) 472-3438
Mailing address
841 N 14TH ST, LINCOLN, NE 68588-1282
(402) 472-3438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
655
NE
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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