Healthcare Provider Details

I. General information

NPI: 1427953470
Provider Name (Legal Business Name): KAYLIE BEARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88695 552 AVE
CROFTON NE
68730-4200
US

IV. Provider business mailing address

406 W HAROLD ST # 171
CROFTON NE
68730-4038
US

V. Phone/Fax

Practice location:
  • Phone: 402-358-1403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: