Healthcare Provider Details

I. General information

NPI: 1508770157
Provider Name (Legal Business Name): KARIN MARIE MOSES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 PARKLANE DR
KEARNEY NE
68847-8605
US

IV. Provider business mailing address

5210 PARKLANE DR
KEARNEY NE
68847-8605
US

V. Phone/Fax

Practice location:
  • Phone: 308-233-5011
  • Fax: 308-233-5017
Mailing address:
  • Phone: 308-233-5011
  • Fax: 308-233-5017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License Number57426
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: