Individual
KEVIN WITCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 S 70TH ST, LINCOLN, NE 68506-1569
(402) 261-6764
Mailing address
1650 S 70TH ST, LINCOLN, NE 68506-1569
(402) 261-6764
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111656
NE
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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