Healthcare Provider Details

I. General information

NPI: 1609706670
Provider Name (Legal Business Name): KENDALL J STORY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 S 48TH ST STE 118
LINCOLN NE
68516-4110
US

IV. Provider business mailing address

87763 556 AVE
HARTINGTON NE
68739-5062
US

V. Phone/Fax

Practice location:
  • Phone: 402-474-4000
  • Fax:
Mailing address:
  • Phone: 402-833-8748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: