Individual
KAITLYN HUXOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 E H ST, MC COOK, NE 69001-3482
(308) 344-2650
Mailing address
PO BOX 1328, MC COOK, NE 69001-1328
(308) 344-2650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2421
NE
Other
Enumeration date
11/20/2019
Last updated
05/15/2023
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