Individual
MAKENNA C KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 BOSWELL AVE STE 301, CRETE, NE 68333-3603
(402) 270-9074
Mailing address
1014 BOSWELL AVE STE 301, CRETE, NE 68333-3603
(402) 270-9074
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100582973
BRIGHT HEALTH
NE
Enumeration date
01/25/2022
Last updated
01/25/2022
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