Kandice E Dolesh PA-C

NPI 1710209283 - Physician Assistant - 363AS0400X

NPI Details
NPI 1710209283
Gender Female
Enumeration Date 02/24/2010
Last Updated 12/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2725 S 144TH ST STE 212
OMAHA NE, 68144-5253, US
Phone (402) 637-0800
Fax (402) 637-0852
Business Location
2725 S 144TH ST STE 212
OMAHA NE, 68144-5253, US
Phone (402) 637-0800
Fax (402) 637-0852
Toxanomy
Taxonomy Code 363AS0400X
License State Nebraska
License Number 1496
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According to our database, Kandice E Dolesh PA-C NPI is 1710209283, taxonomy code is 363AS0400X and license number is 1496, license state is located at Nebraska. Kandice E Dolesh PA-C physically located at 2725 S 144th St Ste 212, Omaha NE, 68144-5253. NPI Number Kandice E Dolesh PA-C has the Individual type.

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1710209283 NPI number is provided on an as is basis without warranty of any kind. 1710209283 is maintained by the National Plan & Provider Enumeration System. The contents of Kandice E Dolesh PA-C are for informational purposes only.