Healthcare Provider Details

I. General information

NPI: 1659057396
Provider Name (Legal Business Name): KACI DANNA KIRCHHOEFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 E HIGHWAY 34
PLATTSMOUTH NE
68048
US

IV. Provider business mailing address

1938 US 34
PLATTSMOUTH NE
68048
US

V. Phone/Fax

Practice location:
  • Phone: 402-972-7267
  • Fax:
Mailing address:
  • Phone: 531-559-3266
  • Fax: 402-836-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3226
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: