Individual
KAYLA JEAN HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 S 88TH ST, OMAHA, NE 68127-4411
(402) 980-1376
Mailing address
6624 S 88TH ST, OMAHA, NE 68127-4411
(402) 980-1376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79954
NE
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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