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NPI 1790584373

NPI 1790584373 : MAKAYLA E KINNEY : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1790584373
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    Entity Type          |    Individual 
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    Provider Name        |    MAKAYLA E KINNEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2025
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    Last Update Date     |    03/07/2025
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Provider Practice Location Address
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    Address Line         |    5801 HIDCOTE DR 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68516-5568
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    Country              |    US
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    Telephone            |    402-665-4687
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2521 N MAIN ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68521-3461
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    Country              |    US
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    Telephone            |    531-270-4674
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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