Healthcare Provider Details

I. General information

NPI: 1578428686
Provider Name (Legal Business Name): BRENDA SUE KERKMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W CENTRAL ST
ATKINSON NE
68713-4936
US

IV. Provider business mailing address

PO BOX 151
ATKINSON NE
68713-0151
US

V. Phone/Fax

Practice location:
  • Phone: 402-340-5779
  • Fax: 402-925-2996
Mailing address:
  • Phone: 402-340-5779
  • Fax: 402-925-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number78288
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: