Individual
DUANE KROLIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 N ELM ST STE 101, GRAND ISLAND, NE 68801-4509
(308) 379-1129
Mailing address
312 N ELM ST STE 101, GRAND ISLAND, NE 68801-4509
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-084
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CPSS-084
—
NE
Enumeration date
05/27/2021
Last updated
05/27/2021
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