Kelly Rae Phouthavong
Nursing in Nebraska

License number
Nebraska 65518
Issued Date
Jun 29, 2004
Effective Date
Jun 30, 2006
Category
Nursing Support
Type
Nurse Aide
Address
Address
Nebraska
Education
Central Community College-Grand Island-75hr, Jun 29, 2004
Comp Eval - Written, Jun 29, 2004
Comp Eval - Clinical, Jun 29, 2004
LicenseFiles verified this license of Mar 26, 2017 at the Nebraska Department of Health and Human Services.

Personal information

See more information about Kelly Rae Phouthavong at radaris.com
Name
Address
Phone
Kelly Phouthavong
115 Brooklyn Ave, Doniphan, NE 68832
(402) 845-2143
Kelly Phouthavong, age 37
2124 State St, Grand Island, NE 68803
(308) 675-0954

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