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Kevin Pruitt
NPI 1356873467 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5016 Copper Creek Rd
Bellevue, NE 68157 - Phone
- (402) 444-3368
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska