Individual
KENNETH WAYNE EGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 14TH AVE, HOLDREGE, NE 68949-1403
(307) 231-5052
Mailing address
PO BOX 2134, PINEDALE, WY 82941-2134
(307) 231-6205
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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