Jennifer Elizebeth Khaled, PA-C

NPI #1912202631 in Ravenna, Nebraska

Provider Information

NPI Number: 1912202631
Entity Type: Individual
Name: Jennifer Elizebeth Khaled, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 12, 2011
Last Updated: Dec 27, 2024

Practice Location

Address: 41541 CARTHAGE RD
City: Ravenna
State: Nebraska
ZIP Code: 68869-4073
Phone: (531) 218-4184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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