Individual
KACEY OLLENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87563 491ST AVE, ONEILL, NE 68763-4643
(402) 340-9056
Mailing address
87563 491ST AVE, ONEILL, NE 68763-4643
(402) 340-9056
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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