KS Old Cheney, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KS OLD CHENEY, LLC

Practice address

6450 O St Ste 2
Lincoln, NE 68510-2369

Phone

(402) 650-7333

NPI assigned

Mar 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Knobbe

Title

Owner

Phone

(402) 423-5391

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1255834982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 O ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102369",
            "telephone_number": "402-650-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Pine Lake Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685166041",
            "country_code": "US",
            "telephone_number": "402-423-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KS OLD CHENEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KNOBBE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-423-5391"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Eugene Kruse
• Thomas A Kruse, MPT,MTC
• Kirsten Ann Krutak
• Eric Kryzenske
• Josh Kryzer
• Eh Kaw Ku
• Say Ku
• Tha Ku
• Erena Christopher Kuanga
• Polly Elaine Kubik, PT

• Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.