Healthcare Provider Details

I. General information

NPI: 1942145867
Provider Name (Legal Business Name): KAILEIGH JO DELANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 S CALLE COLOMBO ST
COLUMBUS NE
68601-2730
US

IV. Provider business mailing address

124 S CALLE COLOMBO ST
COLUMBUS NE
68601-2730
US

V. Phone/Fax

Practice location:
  • Phone: 402-875-1611
  • Fax:
Mailing address:
  • Phone: 402-875-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number157458
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: