Most Relevant Information
Provider Data
| NPI Number: | 1003813767 |
| Provider Name: | JACKLYNN A KMENT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 598 |
Most Important Dates
| Enumeration Date: | 07/07/2005 |
| Last Updated: | 02/19/2019 |
Provider Practice Location
1620 S 70TH ST STE 103
LINCOLN
NE
685061563
Practice Location Phone/Fax
| Phone: | 4023183550 |
| Fax: | 4023183546 |
Provider Mailing Location
1620 S 70TH ST STE 103
LINCOLN
NE
685061563
Provider Mailing Phone/Fax
| Phone: | 4023183550 |
| Fax: | 4023183546 |