Provider Demographics
NPI:1396317236
Name:KVOLS, LINDSAY RYANN (DNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:RYANN
Last Name:KVOLS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:RYANN
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1299
Mailing Address - Country:US
Mailing Address - Phone:402-375-3800
Mailing Address - Fax:
Practice Address - Street 1:1200 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1299
Practice Address - Country:US
Practice Address - Phone:402-375-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily