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NPI Code Detail

MEDICARE: KEELY WENNEKAMP

MEDICARE: KEELY WENNEKAMP
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
1372500000XChore Provider
2372600000XAdult Companion
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1477485845
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEELY WENNEKAMP
Provider Business Mailing Address
First Line : 1200 LIBRA DR STE 102
Second Line :
City : LINCOLN
State : NE
Zip : 68512-9628
Country : US
Telephone Number : 402-207-1050
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LIBRA DR STE 102
Second Line :
City : LINCOLN
State : NE
Zip : 68512-9628
Country : US
Telephone Number : 402-207-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ KEELY WENNEKAMP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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