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Individual

TERESA ANNE KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 991-3393
(402) 991-3390
Mailing address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 991-3393
(402) 991-3390

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54025
NE
363L00000X
Nurse Practitioner
Primary
110425
NE
363LW0102X
Women's Health Nurse Practitioner
110425
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47067556113
NE
Enumeration date
11/01/2006
Last updated
09/01/2022
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