Individual
GEORGETTE KI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 DURKOP ST, LA VISTA, NE 68128-4245
(402) 850-4609
Mailing address
10015 DURKOP ST, LA VISTA, NE 68128-4245
(402) 850-4609
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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