Individual
WADE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 B AVE, KEARNEY, NE 68847-7464
(308) 206-5910
Mailing address
821 B AVE, KEARNEY, NE 68847-7464
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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