Healthcare Provider Details

I. General information

NPI: 1376468140
Provider Name (Legal Business Name): KENZIE HURLBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 PLAZA BLVD
KEARNEY NE
68845-4841
US

IV. Provider business mailing address

45171 ROAD 801
ANSLEY NE
68814-5116
US

V. Phone/Fax

Practice location:
  • Phone: 308-237-5927
  • Fax:
Mailing address:
  • Phone: 308-991-9631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1164
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: