Healthcare Provider Details

I. General information

NPI: 1326952318
Provider Name (Legal Business Name): MEHMEDIN CLECKNER KERNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MEDIN CLECKNER KERNS

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N 29TH ST
LINCOLN NE
68503-3524
US

IV. Provider business mailing address

325 N 29TH ST
LINCOLN NE
68503-3524
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-3477
  • Fax:
Mailing address:
  • Phone: 402-219-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: