Individual
KATHRYN SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7618 RIDGE AVE, OMAHA, NE 68124-3416
(402) 686-6306
(402) 686-6306
Mailing address
7618 RIDGE AVE, OMAHA, NE 68124-3416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22640
NE
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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