Healthcare Provider Details

I. General information

NPI: 1205728482
Provider Name (Legal Business Name): EMILY SLOANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5609 1ST AVE
KEARNEY NE
68847-2436
US

IV. Provider business mailing address

5609 1ST AVE APT B
KEARNEY NE
68847-2438
US

V. Phone/Fax

Practice location:
  • Phone: 402-699-4902
  • Fax:
Mailing address:
  • Phone: 402-699-4902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: