Individual
KERI CRADDUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16820 CHUTNEY DR, OMAHA, NE 68136-1406
(402) 895-2194
Mailing address
16820 CHUTNEY DR, OMAHA, NE 68136-1406
(402) 472-2071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1201
NE
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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