Healthcare Provider Details

I. General information

NPI: 1093449241
Provider Name (Legal Business Name): CHRIS LINDA KAST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISSAN LINDA KAST

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W. NORFOLK AVE SUITE 201
NORFOLK NE
68701-5221
US

IV. Provider business mailing address

333 W. NORFOLK AVE SUITE 201
NORFOLK NE
68701-5221
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-2030
  • Fax: 402-379-3933
Mailing address:
  • Phone: 402-379-2030
  • Fax: 402-379-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCPSS-170
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberCPSS-170
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: