Provider Demographics
NPI:1154670800
Name:FLETCHER, KADI ANN (DC)
Entity Type:Individual
Prefix:
First Name:KADI
Middle Name:ANN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 S 48TH ST
Mailing Address - Street 2:STE 7
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1279
Mailing Address - Country:US
Mailing Address - Phone:402-261-5766
Mailing Address - Fax:402-261-5943
Practice Address - Street 1:4300 S 48TH ST
Practice Address - Street 2:STE 7
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1279
Practice Address - Country:US
Practice Address - Phone:402-261-5766
Practice Address - Fax:402-261-5943
Is Sole Proprietor?:No
Enumeration Date:2012-09-09
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor