Individual
MICHELLE DIANNE KENTFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11810 NICHOLAS ST, OMAHA, NE 68154-4449
(402) 779-8400
Mailing address
16003 MIDDLE ISLAND DRIVE, SOUTH BEND, NE 68058
(402) 430-8728
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NE
Other
Enumeration date
09/23/2021
Last updated
10/30/2023
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