Individual
CONNOR EDWIN KENDZORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-6418
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-8943
(402) 559-5753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13896
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/22/2020
Last updated
07/02/2024
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