Healthcare Provider Details

I. General information

NPI: 1679296842
Provider Name (Legal Business Name): RACHEL KATHMAN SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5807 OSBORNE DR W
HASTINGS NE
68901-9158
US

IV. Provider business mailing address

1919 W 39TH ST
KEARNEY NE
68845-8290
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-5611
  • Fax:
Mailing address:
  • Phone: 402-469-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number915
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: