Individual
KIFFANY ANN CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W 112TH ST, KEARNEY, NE 68845-1436
(308) 440-8149
Mailing address
1325 W 112TH ST, KEARNEY, NE 68845-1436
(308) 440-8149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9980
NE
Other
Enumeration date
09/16/2013
Last updated
04/24/2015
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