NPI 1891586202

Kennis Paul

Practitioner Driver Lincoln, NE

Practice location

Address: 5200 Bancroft Ave, Lincoln, NE 68506-4414
Phone: (803) 979-4873

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence H13681965 (NE)

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Registry record

NPI: 1891586202
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2025
Record last updated: 15 May 2025

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.