Healthcare Provider Details

I. General information

NPI: 1881518272
Provider Name (Legal Business Name): SAMANTHA MARIE KLOEPPING
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 W 2ND ST
GRAND ISLAND NE
68803-5413
US

IV. Provider business mailing address

7929 W CENTER RD
OMAHA NE
68124-3104
US

V. Phone/Fax

Practice location:
  • Phone: 402-342-7038
  • Fax: 402-441-8491
Mailing address:
  • Phone: 402-342-7038
  • Fax: 402-441-8491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: