Healthcare Provider Details

I. General information

NPI: 1154247237
Provider Name (Legal Business Name): HANNAH KAY LEETCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 MEADOW RD
GRAND ISLAND NE
68803-1580
US

IV. Provider business mailing address

3820 MEADOW RD
GRAND ISLAND NE
68803-1580
US

V. Phone/Fax

Practice location:
  • Phone: 308-267-6585
  • Fax: 308-267-6585
Mailing address:
  • Phone: 308-267-6585
  • Fax: 308-267-6585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number376K00000X
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: