Individual
TARA LYN DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4503 2ND AVE, STE 209, KEARNEY, NE 68847-2432
(308) 234-9140
Mailing address
PO BOX 338, KEARNEY, NE 68848-0338
(308) 234-9140
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
111206
NE
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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