Individual
KENT A DUNOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2325 LODGE DR, GERING, NE 69341-6825
(308) 631-4397
Mailing address
210074 WILDCAT DR, GERING, NE 69341-6724
(308) 631-4397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
644
NE
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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