NPI 1083366025
Kavonne Crockett
Practice location
- Address
- 120 S 28th St # 1, Lincoln, NE 68510-1319
- Phone
- (402) 805-2552
Authorised official
- Name
- Kavonne Crockett
- Title
- Ceo
- Phone
- (402) 805-2552
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1083366025
- Entity type
- Organization
- NPI issued
- 20 Jan 2022
- Record last updated
- 16 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.