Individual
KERRI MAE FORCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3130
(308) 882-7299
(308) 882-7298
Mailing address
PO BOX 1246, IMPERIAL, NE 69033-1246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3002
NE
Other
Enumeration date
10/06/2023
Last updated
05/24/2024
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