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NPI Code Detail

MEDICARE: CHARLENE KAY KRESHA

MEDICARE: CHARLENE KAY KRESHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistNE

General Provider Information

NPI Number : 1174337034
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE KAY KRESHA
Provider Business Mailing Address
First Line : 2866 48TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2159
Country : US
Telephone Number : 402-564-1465
Fax Number :
Provider Business Practice Location Address
First Line : 2866 48TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2159
Country : US
Telephone Number : 402-564-1465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 02/03/2025

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Directions to “ CHARLENE KAY KRESHA ” Practice Location

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