Kment, Jacklynn A
Kment, Jacklynn A is an individual health care provider with primary practice located at 1620 S 70Th St Ste 103 , Lincoln NE 68506-1563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kment, Jacklynn A can be contacted via phone (402) 318-3550.Contact Information
Primary practice address
1620 S 70Th St Ste 103
Lincoln NE 68506-1563
Phone: (402) 318-3550
Fax: (402) 318-3546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 598 | Nebraska |
Profile Details
| NPI number | 1003813767 |
|---|---|
| LBN Legal business name | Kment, Jacklynn A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 19th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003813767 | NPPES |
| Nebraska | Other | 970013133 | RAILROAD MEDICARE |
| Nebraska | Other | 37758 | RAILROAD MEDICARE |
| Nebraska | MEDICAID | 47065843713 | RAILROAD MEDICARE |
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