Healthcare Provider Details

I. General information

NPI: 1699407817
Provider Name (Legal Business Name): KATHY JEAN HOHBEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 VICKI LN
NORFOLK NE
68701-4558
US

IV. Provider business mailing address

1900 VICKI LN
NORFOLK NE
68701-4558
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-0040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: