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Kavonne Crockett
NPI 1710638895 · on the registry since 2022 · sole proprietor
Practice
- Address
- 120 S 28th St # 1
Lincoln, NE 68510 - Phone
- (402) 805-2552
- Organisation at this address
- Kavonne Crockett
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-16
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