Organization
T&K AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIEVIA Q RUSH-WILKS NP (APRN/CO-OWNER)
(402) 219-4633
Entity
Organization
Contact information
Practice address
1265 S COTNER BLVD STE 41D, LINCOLN, NE 68510-4975
(402) 219-4633
(531) 248-4666
Mailing address
1265 S COTNER BLVD STE 41, LINCOLN, NE 68510-4924
(402) 219-4633
(531) 248-4666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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