Individual
CODY KOHLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Mailing address
14231 OLDFIELD ST, WAVERLY, NE 68462-2006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65678
NE
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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