Kathleen Ellen Fisher, LPN
Individual provider Active NPI Licensed Practical Nurse · Kearney, NE
NPI 1477058758 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1477058758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 16315 (NE)
- Practice address
- 300 W 24TH St
Kearney, NE 68845-5345 - Phone
- (308) 698-8040
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16315 | NE | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Public Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 16315 | NE | Yes |
Addresses
Primary practice location
300 W 24TH St
Kearney, NE 68845-5345
Mailing address
320 W 24TH St
Kearney, NE 68845-5331
Other providers in Kearney, NE
- Erin M Finke
- First Care Medical, PC
- James Arthur Fish
- Kierstyn Erin Fishell
- Destiny Mekayla Fisher
- Katy Rae Fisher
- Katherine Helen Fleecs
- Austin Fletcher
- McKenna Marie Flint
- Jesse Edward Florang
All providers in Kearney, NE · Licensed Practical Nurse in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.